Healthcare Provider Details
I. General information
NPI: 1689495871
Provider Name (Legal Business Name): AADITT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/21/2024
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1722 CURLEW RD
DUNEDIN FL
34698-9216
US
IV. Provider business mailing address
6669 80TH AVE N
PINELLAS PARK FL
33781-2061
US
V. Phone/Fax
- Phone: 727-504-3834
- Fax:
- Phone: 727-504-3834
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 302R00000X |
| Taxonomy | Health Maintenance Organization |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TAPANKUMAR
PATEL
Title or Position: ADMIN
Credential:
Phone: 727-504-3834