Healthcare Provider Details

I. General information

NPI: 1477482420
Provider Name (Legal Business Name): MASJUAN FAMILY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1227 CARIBBEAN COVE CT
ORLANDO FL
32824-6236
US

IV. Provider business mailing address

1227 CARIBBEAN COVE CT
ORLANDO FL
32824-6236
US

V. Phone/Fax

Practice location:
  • Phone: 407-630-9784
  • Fax:
Mailing address:
  • Phone: 407-630-9784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ADRIANO MASJUAN ABAD
Title or Position: OWNER
Credential:
Phone: 407-630-9784