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NPI Code Detail

MEDICARE: TAMPA HEALTH CARE ASSOCIATES LLC

MEDICARE: TAMPA HEALTH CARE ASSOCIATES 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
1314000000XSkilled Nursing FacilitySNF15500962FL

Other Identifiers

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

General Provider Information

NPI Number : 1003861204
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAMPA HEALTH CARE ASSOCIATES LLC
Provider Business Mailing Address
First Line : 2916 HABANA WAY
Second Line :
City : TAMPA
State : FL
Zip : 33614-7108
Country : US
Telephone Number : 813-876-5141
Fax Number : 813-876-5233
Provider Business Practice Location Address
First Line : 2916 HABANA WAY
Second Line :
City : TAMPA
State : FL
Zip : 33614-7108
Country : US
Telephone Number : 813-876-5141
Fax Number : 813-876-5233
Authorized Official
Title or Position : MANAGER
Name : KENNETH K. RAGIN
Credential :
Telephone Number : 813-876-5141
Provider Enumeration Date : 05/24/2006
Last Update Date : 08/10/2012

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Directions to “TAMPA HEALTH CARE ASSOCIATES LLC ” Practice Location

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