Healthcare Provider Details

I. General information

NPI: 1760301014
Provider Name (Legal Business Name): PLATEAU GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1627 ROGERO RD
JACKSONVILLE FL
32211-4866
US

IV. Provider business mailing address

4327 S HWY 27 STE 144
CLERMONT FL
34711-5349
US

V. Phone/Fax

Practice location:
  • Phone: 352-856-5079
  • Fax:
Mailing address:
  • Phone: 352-856-5079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE FORBES
Title or Position: ADMINISTRATOR
Credential:
Phone: 352-856-5079