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NPI Code Detail

MEDICARE: FI-CARROLLWOOD CARE, LLC

MEDICARE: FI-CARROLLWOOD CARE, 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
1314000000XSkilled Nursing FacilitySNF1077095FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447254107
Entity Type Code : Organization
Provider Name (Legal Business Name) : FI-CARROLLWOOD CARE, LLC
Provider Business Mailing Address
First Line : 1665 PALM BEACH LAKES BLVD STE 400
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2108
Country : US
Telephone Number : 561-801-7600
Fax Number :
Provider Business Practice Location Address
First Line : 15002 HUTCHISON RD
Second Line :
City : TAMPA
State : FL
Zip : 33625-5509
Country : US
Telephone Number : 813-960-1969
Fax Number : 813-960-8510
Authorized Official
Title or Position : PRESIDENT
Name : HOWARD JAFFE
Credential :
Telephone Number : 215-346-6454
Provider Enumeration Date : 06/10/2005
Last Update Date : 06/11/2025

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Directions to “FI-CARROLLWOOD CARE, LLC ” Practice Location

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