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NPI Code Detail

MEDICARE: HEALTH CENTER OF PLANT CITY, INC.

MEDICARE: HEALTH CENTER OF PLANT CITY, INC.
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 FacilitySNF1445096FL

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 : 1235156068
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH CENTER OF PLANT CITY, INC.
Provider Business Mailing Address
First Line : 701 N WILDER RD
Second Line :
City : PLANT CITY
State : FL
Zip : 33566-7547
Country : US
Telephone Number : 813-752-3611
Fax Number : 813-659-2428
Provider Business Practice Location Address
First Line : 701 N WILDER RD
Second Line :
City : PLANT CITY
State : FL
Zip : 33566-7547
Country : US
Telephone Number : 813-752-3611
Fax Number : 813-659-2428
Authorized Official
Title or Position : DIRECTOR
Name : FRANK S WEYER JR.
Credential :
Telephone Number : 813-752-3611
Provider Enumeration Date : 07/16/2006
Last Update Date : 02/10/2010

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1164082418 — MELZIE JONATHAN MOORE
Practice Location Address:
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Directions to “HEALTH CENTER OF PLANT CITY, INC. ” Practice Location

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