MEDICARE: AFFINITY CARE OF HILLSBOROUGH 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1730997230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFINITY CARE OF HILLSBOROUGH LLC

Provider Business Mailing Address
First Line	:	4510 OAK FAIR BLVD STE 130
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-7346
Country	:	US
Telephone Number	:	813-535-7711
Fax Number	:	813-433-5102

Provider Business Practice Location Address
First Line	:	4510 OAK FAIR BLVD STE 130
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-7346
Country	:	US
Telephone Number	:	813-535-7711
Fax Number	:	813-433-5102

Authorized Official
Title or Position	:	CEO
Name	:	SAMUEL STERN
Credential	:
Telephone Number	:	510-499-9977

Provider Enumeration Date	:	12/30/2024
Last Update Date	:	12/30/2024

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