Healthcare Provider Details

I. General information

NPI: 1013857143
Provider Name (Legal Business Name): VOANS SENIOR COMMUNITY CARE OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 SYDNEY DR
TALLAHASSEE FL
32317-7494
US

IV. Provider business mailing address

7485 OFFICE RIDGE CIR
EDEN PRAIRIE MN
55344-3690
US

V. Phone/Fax

Practice location:
  • Phone: 218-213-1706
  • Fax:
Mailing address:
  • Phone: 218-213-1706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: ERIC NILSEN
Title or Position: ASSISTANT SECRETARY
Credential:
Phone: 218-213-1706