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NPI 1124675087

NPI 1124675087 : TAMPA BAY SENIORS SERVICES LLC : TAMPA, FL

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General NPI Number Information
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    NPI Number           |    1124675087
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    Entity Type          |    Organization 
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    Legal Business Name  |    TAMPA BAY SENIORS SERVICES LLC 
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Dates
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    Enumeration Date     |    08/23/2019
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    Last Update Date     |    06/09/2025
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Provider Practice Location Address
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    Address Line         |    6105 MEMORIAL HWY STE L 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33615-4574
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    Country              |    US
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    Telephone            |    813-952-6302
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6105 MEMORIAL HWY STE L 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33615-4574
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. DANIELA  MORAN 
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    Credential           |    
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    Telephone            |    813-952-6302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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