MEDICARE: PALOMAS ADULT DAY CARE 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
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1437947041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALOMAS ADULT DAY CARE LLC

Provider Business Mailing Address
First Line	:	3830 W HUMPHREY ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1955
Country	:	US
Telephone Number	:	813-564-6555
Fax Number	:

Provider Business Practice Location Address
First Line	:	3830 W HUMPHREY ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1955
Country	:	US
Telephone Number	:	813-564-6555
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANAMARYS D REYES
Credential	:
Telephone Number	:	813-564-6555

Provider Enumeration Date	:	04/25/2025
Last Update Date	:	05/05/2025

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