MEDICARE: BIRDSONG VENTURES, 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	251E00000X	Home Health Agency	30211139	FL

General Provider Information

NPI Number	:	1992128250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIRDSONG VENTURES, INC

Provider Business Mailing Address
First Line	:	4917 EHRLICH RD
Second Line	:	SUITE 102
City	:	TAMPA
State	:	FL
Zip	:	33624-2005
Country	:	US
Telephone Number	:	813-343-0272
Fax Number	:

Provider Business Practice Location Address
First Line	:	1845 COLLIER PKWY
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33549-8718
Country	:	US
Telephone Number	:	813-446-8027
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. ARTHUR M MOSELEY JR.
Credential	:
Telephone Number	:	813-343-0272

Provider Enumeration Date	:	01/22/2014
Last Update Date	:	01/22/2014

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Directions to “BIRDSONG VENTURES, INC ” Practice Location

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