| NPI | 1073088696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIVIA LEORA KLEIN Family Nurse Practitioner 813-404-9832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |