Organization
LIGHTHOUSE HEALTHCARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART SEBRING SIERRA JR. (PRESIDENT)
(813) 442-5492
Entity
Organization
Contact information
Practice address
3720 W BAY TO BAY BLVD, TAMPA, FL 33629-6912
(813) 442-5492
Mailing address
509 GUISANDO DE AVILA, SUITE 200, TAMPA, FL 33613-5235
(813) 442-5492
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9298
FL
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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