GLKP LLC


Address: 1222 W Fletcher Ave, Tampa, FL 33612-3364
Phone: 8133007972

GLKP LLC (NPI# 1467061572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467061572
Entity Type Organization
Organization Name GLKP LLC
Practice Address 1222 W Fletcher Ave
Tampa
FL 33612-3364
Mailing Address 10875 Cory Lake Dr
Tampa
FL 33647-2992
Practice Telephone 8133007972
Mailing Telephone 8133007972
Enumeration Date 2020-07-24
Last Update Date 2020-07-24
Authorized Official Name MR. KAMAL PATEL (OWNER)
Authorized Official Telephone 8133007972
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
neil's group home Doing Business As Name - Organization

Office Location

Street Address 1222 W FLETCHER AVE
City TAMPA
State FL
Zip Code 33612-3364

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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

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Competitor

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City TAMPA
Zip Code 33612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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