7520 REHABILITATION CENTER LLC
Ambulatory Health at Hillsborough Ave, Tampa, FL

License number
Florida HCC10736
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: ALBERTO MARTINEZ-CHAVEZ
Title: PRESIDENT
Phone: (813) 443-3856
Address
Address
10049 W Hillsborough Ave, Tampa, FL 33615
National Provider ID: 1851849970
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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7520 REHABILITATION CENTER, LLC

Tampa, FL

Industry:
Specialty Outpatient Clinic
Registration:
Sep 15, 2009
Addresses:
7520 W Waters Ave 14, Tampa, FL 33615 (Physical)
Tampa, FL 33685 (Mailing)
7520 W Waters Ave, Tampa, FL 33615
PO Box 261826, Tampa, FL 33685
State ID:
L09000088723
Business type:
Florida Limited Liability Company
Managing Members:
Alberto Martinez Chavez (Manager), 7520 W Waters Ave SUITE 14, Tampa, FL 33615 (Physical),Eliger Alfonso Managing Member, inactive
Agent:
Martinez Chavez,7520 W Waters Ave, Tampa, FL 33615 (Physical)
EIN:
270920319

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