Organization
PINELLAS PARK FL OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HERSKOWITZ (CHIEF OF STAFF)
(212) 444-1991
Entity
Organization
Contact information
Practice address
8701 49TH ST N, PINELLAS PARK, FL 33782-5331
(727) 546-4661
Mailing address
23645 MERCANTILE RD STE J, BEACHWOOD, OH 44122-5936
(212) 444-1991
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
05/16/2023
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