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Organization

TAMPA ROAD OPCO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMITAI DAGAN (AUTHORIZED MEMBER)
(813) 855-4661
Entity
Organization

Contact information

Practice address
3865 TAMPA RD, OLDSMAR, FL 34677-3008
(813) 855-4661
Mailing address
3865 TAMPA RD, OLDSMAR, FL 34677-3008

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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