Healthcare Provider Details

I. General information

NPI: 1205681590
Provider Name (Legal Business Name): POMELO PROPERTIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2024
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2653 BRUCE B DOWNS BLVD STE. 108A #1121
WESLEY CHAPEL FL
33544
US

IV. Provider business mailing address

2653 BRUCE B DOWNS BLVD STE. 108A #1121
WESLEY CHAPEL FL
33544
US

V. Phone/Fax

Practice location:
  • Phone: 877-589-7444
  • Fax:
Mailing address:
  • Phone: 561-778-4733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ERYKA VINCENT
Title or Position: OWNER
Credential:
Phone: 561-778-4733