Healthcare Provider Details

I. General information

NPI: 1730997230
Provider Name (Legal Business Name): AFFINITY CARE OF HILLSBOROUGH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4510 OAK FAIR BLVD STE 130
TAMPA FL
33610-7346
US

IV. Provider business mailing address

4510 OAK FAIR BLVD STE 130
TAMPA FL
33610-7346
US

V. Phone/Fax

Practice location:
  • Phone: 813-535-7711
  • Fax: 813-433-5102
Mailing address:
  • Phone: 813-535-7711
  • Fax: 813-433-5102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL STERN
Title or Position: CEO
Credential:
Phone: 510-499-9977