National Provider Identifier Database

DEDICATED SENIOR MEDICAL CENTER EAST TAMPA LLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

DEDICATED SENIOR MEDICAL CENTER EAST TAMPA, LLC.
3128 EAST HILLSBOROUGH AVENUE
DEDICATED SENIOR MEDICAL CENTER EAST TAMPA, LLC.
TAMPA, FL33610
Phone: 305-831-4761
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Non-Pharmacy Dispensing Site 332900000X

* Indicates primary specialty

NPI Profile & details for DEDICATED SENIOR MEDICAL CENTER EAST TAMPA, LLC.

NPI Number 1619401338
Legal business name
LBN
DEDICATED SENIOR MEDICAL CENTER EAST TAMPA, LLC.
Authorized official GLADYS FERNANDEZ-CORTES - (MANAGING DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/19/2017
Last updated 04/19/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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