Healthcare Provider Details
I. General information
NPI: 1457213506
Provider Name (Legal Business Name): NORTH FLORIDA SNF OPERATOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6700 NW 10TH PL
GAINESVILLE FL
32605-4213
US
IV. Provider business mailing address
250 CEDARBRIDGE AVE STE 290
LAKEWOOD NJ
08701-4236
US
V. Phone/Fax
- Phone: 352-331-3111
- Fax:
- Phone: 732-200-1008
- Fax: 732-201-6666
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHMUEL
ZYTMAN
Title or Position: MANAGING PARTNER
Credential:
Phone: 917-858-9016