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NPI Code Detail

MEDICARE: INNOVAGE FLORIDA PACE II, LLC

MEDICARE: INNOVAGE FLORIDA PACE II, 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
1251T00000XPACE Provider Organization

General Provider Information

NPI Number : 1952064677
Entity Type Code : Organization
Provider Name (Legal Business Name) : INNOVAGE FLORIDA PACE II, LLC
Provider Business Mailing Address
First Line : 8950 E LOWRY BLVD
Second Line :
City : DENVER
State : CO
Zip : 80230-7030
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8410 S ORANGE BLOSSOM TRL
Second Line :
City : ORLANDO
State : FL
Zip : 32809-7906
Country : US
Telephone Number : 720-766-4966
Fax Number :
Authorized Official
Title or Position : ATTORNEY
Name : KARL DAVID ACUFF
Credential :
Telephone Number : 850-671-2644
Provider Enumeration Date : 10/19/2021
Last Update Date : 10/19/2021

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Directions to “INNOVAGE FLORIDA PACE II, LLC ” Practice Location

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