NPI 1073978607
Ideal Image
Practice location
- Address
- 17504 Preserve Walk Ln, Tampa, FL 33647-3243
- Phone
- (813) 549-2299
Authorised official
- Name
- Shelly Atalig
- Title
- Arnp
- Phone
- (813) 748-1527
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1073978607
- Entity type
- Organization
- NPI issued
- 26 Dec 2015
- Record last updated
- 26 Dec 2015
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.