Sa Pg-Tampa LLC

NPI #1629074851 in Tampa, Florida

Provider Information

NPI Number: 1629074851
Entity Type: Organization
Organization Name: Sa Pg-Tampa LLC
Primary Specialty: Skilled Nursing Facility
Enumeration Date: Jun 22, 2005
Last Updated: Jul 22, 2008

Practice Location

Address: 3612 E 138TH AVE
City: Tampa
State: Florida
ZIP Code: 33613-4703
Phone: (813) 972-8775

Authorized Official

Name: MR. ALEX PALEY
Title: COO
Phone: (914) 390-4363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Skilled Nursing Facility	314000000X	Primary

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