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NPI 1043681620

NPI 1043681620 : SOLARIS HEALTHCARE BAYONET POINT LLC : HUDSON, FL

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General NPI Number Information
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    NPI Number           |    1043681620
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOLARIS HEALTHCARE BAYONET POINT LLC 
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Dates
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    Enumeration Date     |    10/08/2015
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    Last Update Date     |    12/11/2024
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Provider Practice Location Address
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    Address Line         |    7210 BEACON WOODS DR 
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    City                 |    HUDSON
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    State                |    FL
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    Zip                  |    34667-1974
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    Country              |    US
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    Telephone            |    727-863-1521
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3310 
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    City                 |    WINDERMERE
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    State                |    FL
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    Zip                  |    34786-3310
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     AMY  SAAYMAN 
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    Credential           |    
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    Telephone            |    727-863-1521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    
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    License Number State |    
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