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NPI Code Detail

MEDICARE: DELTA HEALTHCARE OF TAMPA

MEDICARE: DELTA HEALTHCARE OF TAMPA
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 Facility

General Provider Information

NPI Number : 1811984685
Entity Type Code : Organization
Provider Name (Legal Business Name) : DELTA HEALTHCARE OF TAMPA
Provider Business Mailing Address
First Line : 1818 E FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33612-3770
Country : US
Telephone Number : 813-971-2383
Fax Number : 813-971-7708
Provider Business Practice Location Address
First Line : 1818 E FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33612-3770
Country : US
Telephone Number : 813-971-2383
Fax Number : 813-971-7708
Authorized Official
Title or Position : PPS COORDINATOR
Name : MRS. PATRICIA RUTH WHITAKER
Credential : RN
Telephone Number : 813-971-2383
Provider Enumeration Date : 10/05/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1083606917 — DELTA HEALTH GROUP INC
Practice Location Address:
1818 E FLETCHER AVE
TAMPA, FL
33612-3770
Practice Phone: 813-971-2383
Practice Fax: 813-971-7708
1518126408 — SF TAMPA LLC
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Practice Fax:
1821411687 — AMY ELLEN BROWNE MORANTES LCSW-C
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33612-3770
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Practice Fax:
1578000709 — BRISTOL AT TAMPA REHABILITATION AND NURSING CENTER LLC
Practice Location Address:
1818 E FLETCHER AVE
TAMPA, FL
33612-3770
Practice Phone: 201-731-1700
Practice Fax:
1902383110 — KRISTINE LIANA KEENE-HETH APRN-C
Practice Location Address:
1818 E FLETCHER AVE
TAMPA, FL
33612-3770
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Practice Fax: 313-635-0050
1750967337 — BRISTOL SNF LLC
Practice Location Address:
1818 E FLETCHER AVE
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33612-3770
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Practice Fax:

Directions to “DELTA HEALTHCARE OF TAMPA ” Practice Location

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