Healthcare Provider Details

I. General information

NPI: 1326974320
Provider Name (Legal Business Name): MARC DUBREUS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1186 HAINES DR
WINTER HAVEN FL
33881-0718
US

IV. Provider business mailing address

1186 HAINES DR
WINTER HAVEN FL
33881-0718
US

V. Phone/Fax

Practice location:
  • Phone: 863-712-8075
  • Fax:
Mailing address:
  • Phone: 863-712-8075
  • 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: MARC DUBREUS
Title or Position: OWNER AND ADMINISTRATOR
Credential:
Phone: 863-712-8075