NPI 1053746008

Palm Garden of Tampa LLC

Organisation Skilled Nursing Facility Tampa, FL

Practice location

Address: 3612 E 138th Ave, Tampa, FL 33613-4703
Phone: (813) 972-8775
Fax: (813) 978-0680
Mailing address: 2033 Main St Suite 302, Sarasota, FL 34237-6056

Authorised official

Name: Morris H. Miller
Title: Authorized Representative
Phone: (941) 952-9411

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 1420095 (FL)

Other Skilled Nursing Facility providers in Florida →

Registry record

NPI: 1053746008
Entity type: Organization
NPI issued: 10 Sep 2013
Record last updated: 4 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.