OrganizationActive
702 South Kings Avenue Operations LLC
NPI 1821367608 · Skilled Nursing Facility · Brandon, FL
Provider details
- NPI number
- 1821367608
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Ussery, Vp(407) 571-1550
- License
- SNF1088096 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
702 S Kings Ave
Brandon, FL 33511-5925
Phone: (813) 651-1818
Fax: (813) 654-4252
Approximate (ZIP-level) locationGet directions
Mailing address
702 S Kings Ave
Brandon, FL 33511-5925
Other names (DBA / former)
- Doing business as
- Central Park Healthcare and Rehabilitation Center
- Doing business as
- Central Park Healthcare and Rehabilitation Center
Registry dates
- Enumerated
- 2011-12-22
- Last updated
- 2023-11-27
- Certified
- 2020-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.