Provider Demographics
NPI:1255585667
Name:ORESBURN & ASSOCIATES INC
Entity type:Organization
Organization Name:ORESBURN & ASSOCIATES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/VICEPRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NIURKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-325-9748
Mailing Address - Street 1:4536 W IDLEWILD AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-5438
Mailing Address - Country:US
Mailing Address - Phone:813-325-9748
Mailing Address - Fax:813-881-1887
Practice Address - Street 1:4536 W IDLEWILD AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-5438
Practice Address - Country:US
Practice Address - Phone:813-325-9748
Practice Address - Fax:813-881-1887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10588310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility