NPI 1164800819

Miledy Martinez

Organisation Adult Care Home Facility Tampa, FL

Practice location

Address: 6508 Amundson CT, Tampa, FL 33634-4731
Phone: (813) 880-8393

Authorised official

Name: Miledy Martinez
Title: Administrator
Phone: (813) 880-8393

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 6906029 (FL)

Other Custodial Care Facility providers in Florida →

Registry record

NPI: 1164800819
Entity type: Organization
NPI issued: 14 May 2015
Record last updated: 14 May 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.