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NPI Code Detail

MEDICARE: FLORIDA HHC CORP.

MEDICARE: FLORIDA HHC CORP.
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
1310400000XAssisted Living Facility5336FL

Other Identifiers

General Provider Information

NPI Number : 1467417857
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA HHC CORP.
Provider Business Mailing Address
First Line : 10542 51ST TER N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33708-3308
Country : US
Telephone Number : 727-391-2909
Fax Number : 727-391-2909
Provider Business Practice Location Address
First Line : 3586 53RD AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33714-2412
Country : US
Telephone Number : 727-522-4439
Fax Number : 727-521-9520
Authorized Official
Title or Position : PRESIDENT/ADMINISTRATOR
Name : MRS. BRENDA JOYCE ROEGELE
Credential :
Telephone Number : 727-522-4439
Provider Enumeration Date : 04/19/2006
Last Update Date : 08/15/2008

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Directions to “FLORIDA HHC CORP. ” Practice Location

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