MEDICARE: TUKA HOLDINGS 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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1841139219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUKA HOLDINGS LLC

Provider Business Mailing Address
First Line	:	3256 BENSON PARK BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32829-7329
Country	:	US
Telephone Number	:	407-242-0352
Fax Number	:

Provider Business Practice Location Address
First Line	:	3256 BENSON PARK BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32829-7329
Country	:	US
Telephone Number	:	407-242-0352
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ANDRES RAFAEL VAZQUEZ
Credential	:
Telephone Number	:	407-242-0352

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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Directions to “TUKA HOLDINGS LLC ” Practice Location

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