Organization
PRUITTHEALTH - NORTH TAMPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL L PRUITT JR. (CHAIRMAN AND CEO)
(770) 279-6200
Entity
Organization
Contact information
Practice address
18940 SUNLAKE BLVD, LUTZ, FL 33558-4943
(770) 296-6200
Mailing address
1626 JEURGENS CT, ATTN: LEGAL DEPT, NORCROSS, GA 30093
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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