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NPI Code Detail

MEDICARE: DADE CITY FL OPCO LLC

MEDICARE: DADE CITY FL OPCO 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
1385H00000XRespite Care
2314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1154255354
Entity Type Code : Organization
Provider Name (Legal Business Name) : DADE CITY FL OPCO LLC
Provider Business Mailing Address
First Line : 3512 QUENTIN RD STE 200
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4245
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 37135 COLEMAN AVE
Second Line :
City : DADE CITY
State : FL
Zip : 33525-4526
Country : US
Telephone Number : 352-567-8615
Fax Number :
Authorized Official
Title or Position : AUTHORIZED SIGNER
Name : ROBERT SCHOENFELD
Credential :
Telephone Number : 917-699-3048
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “DADE CITY FL OPCO LLC ” Practice Location

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