MEDICARE: MRS. MIRELLA ROSELVY RUBIO OWNER

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	311ZA0620X	Adult Care Home Facility	6906031	FL
2	3747A0650X	Attendant Care Provider	9000015076	FL

General Provider Information

NPI Number	:	1902962343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MIRELLA ROSELVY RUBIO OWNER

Provider Business Mailing Address
First Line	:	3003 W BEACH ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-2928
Country	:	US
Telephone Number	:	813-500-3508
Fax Number	:	813-500-3508

Provider Business Practice Location Address
First Line	:	3003 W BEACH ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-2928
Country	:	US
Telephone Number	:	813-500-3508
Fax Number	:	813-500-3508

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1144645854 — MIRELLA'S ASSISTED LIVING LLC
Practice Location Address:

3003 W BEACH ST
TAMPA, FL
33607-2928

Practice Phone: 813-500-3508
Practice Fax:

1598869463 — HOLIDAY CVS LLC
Practice Location Address:

3102 W GANDY BLVD
TAMPA, FL
33611-2928

Practice Phone: 813-902-1833
Practice Fax:

1003154576 — THOAI NHAN PHAM TANG
Practice Location Address:

3102 W GANDY BLVD
TAMPA, FL
33611-2928

Practice Phone: 813-902-1833
Practice Fax:

1043688179 — FRANCISCA MARCIA BENJAMIN BLANCO PHARM.D.
Practice Location Address:

10248 GOLDENBROOK WAY
TAMPA, FL
33647-2928

Practice Phone: 813-482-2306
Practice Fax:

1811466808 — MR. CONNOR LOUIS GIVENS ATC
Practice Location Address:

4805 BAY HERON PL APT 703
TAMPA, FL
33616-2928

Practice Phone: 570-709-7795
Practice Fax:

1871192591 — MR. TIMOTHY JOSEPH BRIGGS
Practice Location Address:

3102 W GANDY BLVD
TAMPA, FL
33611-2928

Practice Phone: 813-902-1833
Practice Fax: 813-831-1394

Directions to “ MRS. MIRELLA ROSELVY RUBIO OWNER” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.