Gulf Shore Facility INC
NPI #1982091476 in Pinellas Park, Florida
Provider Information
- NPI Number
- 1982091476
- Entity Type
- Organization
- Organization Name
- Gulf Shore Facility INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 22, 2015
- Last Updated
- Apr 29, 2015
Practice Location
- Address
- 6767 86TH AVENURE NORTH
- City
- Pinellas Park
- State
- Florida
- ZIP Code
- 33782-4597
- Phone
- (727) 584-5566
Authorized Official
- Name
- MR. MICHAEL BLEICH
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (845) 641-8314
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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