MEDICARE: VOANS SENIOR COMMUNITY CARE OF FLORIDA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251T00000X	PACE Provider Organization

General Provider Information

NPI Number	:	1013857143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOANS SENIOR COMMUNITY CARE OF FLORIDA

Provider Business Mailing Address
First Line	:	7485 OFFICE RIDGE CIR
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-3690
Country	:	US
Telephone Number	:	218-213-1706
Fax Number	:

Provider Business Practice Location Address
First Line	:	751 SYDNEY DR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317-7494
Country	:	US
Telephone Number	:	218-213-1706
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT SECRETARY
Name	:	ERIC NILSEN
Credential	:
Telephone Number	:	218-213-1706

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	06/02/2026

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