MEDICARE: BRIDGEPORT SENIOR LIVING LLC

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	310400000X	Assisted Living Facility	AL2280	FL

General Provider Information

NPI Number	:	1083957039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGEPORT SENIOR LIVING LLC

Provider Business Mailing Address
First Line	:	13546 DARCHANCE RD
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-6305
Country	:	US
Telephone Number	:	407-760-3648
Fax Number	:	877-784-0844

Provider Business Practice Location Address
First Line	:	8341 LAKE CROWELL CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-5931
Country	:	US
Telephone Number	:	407-730-2582
Fax Number	:	407-730-2642

Authorized Official
Title or Position	:	OWNER
Name	:	MR. KEVIN GALBASINI
Credential	:
Telephone Number	:	407-760-3649

Provider Enumeration Date	:	03/28/2013
Last Update Date	:	03/28/2013

Similar Medicare Providers

1902208663 — A1 FAMILY HEALTHCARE INC
Practice Location Address:

5931 RIVIERA DR
ORLANDO, FL
32808-2121

Practice Phone: 407-271-4406
Practice Fax: 407-271-4406

1386024206 — VINCENT POLITE
Practice Location Address:

5931 BEECHMONT BLVD
ORLANDO, FL
32808-2314

Practice Phone: 407-592-0481
Practice Fax:

1891517785 — LISMARY GONZALEZ POLO
Practice Location Address:

1400 CRICKET CLUB CIR APT 103
ORLANDO, FL
32828-5931

Practice Phone: 407-409-5065
Practice Fax:

1275470593 — MERCADODME LLC
Practice Location Address:

10763 HOBBIT CIR APT 7303
ORLANDO, FL
32836-7667

Practice Phone: 201-820-6509
Practice Fax:

1104753375 — SUNRISEDME LLC
Practice Location Address:

10763 HOBBIT CIR APT 7303
ORLANDO, FL
32836-7667

Practice Phone: 201-820-6583
Practice Fax:

1285561357 — MEDNOVA DME LLC
Practice Location Address:

10700 MYSTIC CIR APT 106
ORLANDO, FL
32836-6619

Practice Phone: 201-820-6973
Practice Fax:

Directions to “BRIDGEPORT SENIOR LIVING LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.