Healthcare Provider Details

I. General information

NPI: 1831018860
Provider Name (Legal Business Name): LUCITA ELISCARD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7002 KING CREEK DR
SUN CITY CENTER FL
33573-0218
US

IV. Provider business mailing address

7002 KING CREEK DR
SUN CITY CENTER FL
33573-0218
US

V. Phone/Fax

Practice location:
  • Phone: 941-909-4607
  • Fax:
Mailing address:
  • Phone: 941-909-4607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. LUCITA ELISCARD
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 941-909-4607