Palm Avenue Baptist Tower, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10783 Issued in FL

Legal business name

PALM AVENUE BAPTIST TOWER, INC

Practice address

215 E Palm Ave
Tampa, FL 33602-2236

Phone

(813) 223-2686

Fax

(813) 223-6983

NPI assigned

Jun 18, 2012

Last updated

Jun 18, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lina M Zuluaga

Title

Administrator

Phone

(813) 223-2686

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1790048551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E PALM AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022236",
            "telephone_number": "813-223-2686",
            "fax_number": "813-223-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E PALM AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022236",
            "telephone_number": "813-223-2686",
            "fax_number": "813-223-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM AVENUE BAPTIST TOWER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "ZULUAGA",
        "authorized_official_first_name": "LINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-223-2686"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Palles
• Hilianys Palli Bonet
• Palliative and Rehabilitation Medical Center
• Alison Pallo, M.A.
• Elissa Lee Pally, DC
• Palm Avenue BT, LP
• Palm Bay Rehab Clinic Inc
• Palm Garden of Tampa LLC (Palm Garden of Tampa)
• Palm Leaves Home Health Care
• Palm Medical Center Lakeland LLC

• Assisted Living Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.