Healthcare Provider Details

I. General information

NPI: 1366953887
Provider Name (Legal Business Name): LA MER NH II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2017
Last Update Date: 10/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 9TH ST
MIAMI BEACH FL
33139-5722
US

IV. Provider business mailing address

4042 PARK OAKS BLVD STE 300
TAMPA FL
33610-9539
US

V. Phone/Fax

Practice location:
  • Phone: 305-531-3321
  • Fax:
Mailing address:
  • Phone: 813-635-9500
  • Fax:

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: RONALD J SWARTZ
Title or Position: VICE PRESIDENT AND CFO
Credential:
Phone: 813-635-9500