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General NPI Number Information
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NPI Number | 1205681590
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Entity Type | Organization
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Legal Business Name | POMELO PROPERTIES LLC
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Dates
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Enumeration Date | 04/19/2024
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 2653 BRUCE B DOWNS BLVD STE. 108A #1121
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544
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Country | US
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Telephone | 877-589-7444
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Fax |
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Provider Business Mailing Address
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Address Line | 2653 BRUCE B DOWNS BLVD STE. 108A #1121
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544
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Country | US
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Telephone | 561-778-4733
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERYKA VINCENT
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Credential |
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Telephone | 561-778-4733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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