Healthcare Provider Details

I. General information

NPI: 1730587254
Provider Name (Legal Business Name): LSV INVESTORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2014
Last Update Date: 06/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 HAYES ROAD
LUTZ FL
33549-6132
US

IV. Provider business mailing address

2123 CENTRE POINTE BLVD
TALLAHASSEE FL
32308-4930
US

V. Phone/Fax

Practice location:
  • Phone: 850-386-2831
  • Fax: 850-386-1552
Mailing address:
  • Phone: 850-386-2831
  • Fax: 850-386-1552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF130471059
License Number StateFL

VIII. Authorized Official

Name: MR. JOSEPH D. MITCHELL
Title or Position: PRESIDENT
Credential:
Phone: 850-386-2831