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NPI 1366603243

NPI 1366603243 : THE MEADOWS AT CYPRESS GARDENS : WINTER HAVEN, FL

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General NPI Number Information
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    NPI Number           |    1366603243
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE MEADOWS AT CYPRESS GARDENS 
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Dates
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    Enumeration Date     |    06/23/2008
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    Last Update Date     |    01/27/2026
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Provider Practice Location Address
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    Address Line         |    3050 WOODMONT AVENUE 
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    City                 |    WINTER HAVEN
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    State                |    FL
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    Zip                  |    33884
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    Country              |    US
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    Telephone            |    863-269-1071
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    Fax                  |    863-324-6231
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Provider Business Mailing Address
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    Address Line         |    3050 WOODMONT AVENUE 
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    City                 |    WINTER HAVEN
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    State                |    FL
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    Zip                  |    33884
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    Country              |    US
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    Telephone            |    863-324-7300
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    Fax                  |    863-324-6231
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BEN  CASTLEBERG 
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    Credential           |    
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    Telephone            |    863-269-1070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    AL7713
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    License Number State |    FL
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