Healthcare Provider Details

I. General information

NPI: 1871501486
Provider Name (Legal Business Name): 206 MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 W ORANGE ST
DAVENPORT FL
33837-3118
US

IV. Provider business mailing address

4700 SHERIDAN ST SUITE B
HOLLYWOOD FL
33021-3420
US

V. Phone/Fax

Practice location:
  • Phone: 863-422-4961
  • Fax: 863-422-1707
Mailing address:
  • Phone: 954-367-4563
  • Fax: 954-367-4564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. MARGARET H FERNANDEZ
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 954-367-4563