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1083660542 NPI number — DOLPHINS VIEW HEALTH CARE ASSOCIATES LLC

NPI Number: 1083660542
Health Care Provider/Practitioner: DOLPHINS VIEW HEALTH CARE ASSOCIATES LLC

Information about “1083660542” NPI (DOLPHINS VIEW HEALTH CARE ASSOCIATES LLC) exists in 1083660542 in HTML format HTML  |  1083660542 in plain Text format TXT  |  1083660542 in PDF (Portable Document Format) PDF  |  1083660542 in an XML format XML  formats.

NPI Number : 1083660542 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083660542",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DOLPHINS VIEW HEALTH CARE ASSOCIATES LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1820 SHORE DR S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTH PASADENA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33707-4601",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "727-384-9300",
    "MailingAddressFaxNumber": "727-343-8430",
    "FirstLinePracticeLocationAddress": "1820 SHORE DR S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTH PASADENA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33707-4601",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "727-384-9300",
    "PracticeLocationAddressFaxNumber": "727-343-8430",
    "EnumerationDate": "05/26/2006",
    "LastUpdateDate": "11/26/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STRUNK",
    "AuthorizedOfficialFirstName": "ZACHARY",
    "AuthorizedOfficialMiddleName": "T.",
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "727-384-9300",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": "SNF11260961",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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