MEDICARE: YBOR CITY SNF OPERATIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427694702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YBOR CITY SNF OPERATIONS LLC

Provider Business Mailing Address
First Line	:	2123 CENTRE POINTE BLVD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4930
Country	:	US
Telephone Number	:	850-386-2831
Fax Number	:	850-386-2016

Provider Business Practice Location Address
First Line	:	1709 N TALIAFERRO AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-2543
Country	:	US
Telephone Number	:	813-223-4623
Fax Number	:	813-223-3718

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. SOLOMON KLEIN
Credential	:
Telephone Number	:	347-909-1811

Provider Enumeration Date	:	11/21/2019
Last Update Date	:	01/17/2020

Similar Medicare Providers

1124029863 — CONSOLIDATED GROUP OF TAMPA INC
Practice Location Address:

1709 N TALIAFERRO AVE
TAMPA, FL
33602-2543

Practice Phone: 813-223-4623
Practice Fax: 813-223-3718

1861878100 — MRS. KEIOSHA TOWNSEND
Practice Location Address:

400 N TAMPA ST FL 15
TAMPA, FL
33602-4730

Practice Phone: 888-803-3370
Practice Fax:

1598108953 — GILLIAN TRINETTE M GENEROSO M.D.
Practice Location Address:

625 E TWIGGS ST STE 103
TAMPA, FL
33602-3910

Practice Phone: 813-228-7696
Practice Fax: 813-228-0677

1073476024 — ISAAC JACOB CREE PA-S
Practice Location Address:

560 CHANNELSIDE DR
TAMPA, FL
33602-5618

Practice Phone: 813-974-8926
Practice Fax:

1013870088 — GABRIEL DELANOY
Practice Location Address:

560 CHANNELSIDE DR
TAMPA, FL
33602-5618

Practice Phone: 210-931-7048
Practice Fax:

1578426540 — ALEXANDER JAMES FOROGLOU
Practice Location Address:

560 CHANNELSIDE DR
TAMPA, FL
33602-5618

Practice Phone: 813-396-0075
Practice Fax:

Directions to “YBOR CITY SNF OPERATIONS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.