MEDICARE: ORESBURN & ASSOCIATES 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
1	310400000X	Assisted Living Facility	AL10588	FL

General Provider Information

NPI Number	:	1255585667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORESBURN & ASSOCIATES INC

Provider Business Mailing Address
First Line	:	4536 W IDLEWILD AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-5438
Country	:	US
Telephone Number	:	813-325-9748
Fax Number	:	813-881-1887

Provider Business Practice Location Address
First Line	:	4536 W IDLEWILD AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-5438
Country	:	US
Telephone Number	:	813-325-9748
Fax Number	:	813-881-1887

Authorized Official
Title or Position	:	ADMINISTRATOR/VICEPRESIDENT
Name	:	MRS. NIURKA ALEJO
Credential	:
Telephone Number	:	813-325-9748

Provider Enumeration Date	:	11/12/2008
Last Update Date	:	11/12/2008

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