Healthcare Provider Details

I. General information

NPI: 1992780969
Provider Name (Legal Business Name): FLORIDA HEALTHCARE MANAGEMENT LLLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 05/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1556 MAGUIRE ROAD
OCOEE FL
34761-2982
US

IV. Provider business mailing address

1556 MAGUIRE ROAD
OCOEE FL
34761-2982
US

V. Phone/Fax

Practice location:
  • Phone: 407-877-2272
  • Fax: 407-877-6220
Mailing address:
  • Phone: 407-877-2272
  • Fax: 407-877-6220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF13870961
License Number StateFL

VIII. Authorized Official

Name: MR. STEPHEN RYKIEL
Title or Position: PRESIDENT ADMINISTRATOR
Credential: NHA
Phone: 407-877-2272