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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

1415 FORT CLARKE BLVD TENANT LLC

Active Organization

1415 FORT CLARKE BLVD TENANT LLC is a Assisted Living Facility organization located in GAINESVILLE, Florida. NPI 1174351183 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · GAINESVILLE, FL

Registration Details

NPI Number
1174351183
Provider Type
Organization
NPI Issued
Jul 22, 2024 (1.8741980224037 yrs)
Last Updated
Jul 22, 2024

Practice Information

Address
1415 FORT CLARKE BLVD
GAINESVILLE, FL, 326067181
Browse FL providers · Browse ZIP 32606
Phone
3523324505
Primary Specialty
Assisted Living Facility
310400000X
Additional Specialty
Assisted Living Facility
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.