Healthcare Provider Details

I. General information

NPI: 1407787229
Provider Name (Legal Business Name): SILVER SPRINGS KAYAKING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8591 S ROCK PT
FLORAL CITY FL
34436-4675
US

IV. Provider business mailing address

8591 S ROCK PT
FLORAL CITY FL
34436-4675
US

V. Phone/Fax

Practice location:
  • Phone: 727-505-6818
  • Fax:
Mailing address:
  • Phone: 727-505-6818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RETO ARMIN WALTISPERG
Title or Position: OWNER AND MANAGER
Credential:
Phone: 727-505-6818