MEDICARE: FLORIDA SHORES ASSISTED LIVING FACILITY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL8089	FL

General Provider Information

NPI Number	:	1013169887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA SHORES ASSISTED LIVING FACILITY INC.

Provider Business Mailing Address
First Line	:	4060 MIAMI AVE
Second Line	:
City	:	W MELBOURNE
State	:	FL
Zip	:	32904-6212
Country	:	US
Telephone Number	:	386-428-5370
Fax Number	:	386-428-5370

Provider Business Practice Location Address
First Line	:	4060 MIAMI AVE
Second Line	:
City	:	W MELBOURNE
State	:	FL
Zip	:	32904-6212
Country	:	US
Telephone Number	:	386-428-5370
Fax Number	:	386-428-5370

Authorized Official
Title or Position	:	OWNER / ADMINISTRATOR
Name	:	MR. ISABELO NUDALO JR.
Credential	:
Telephone Number	:	386-428-5370

Provider Enumeration Date	:	10/10/2008
Last Update Date	:	10/10/2008

Similar Medicare Providers

1083612279 — SILVIA TINA FRADKIN ARNP
Practice Location Address:

6512 20TH STREET CT W , SUITE C
FIRCREST, WA
98466-6212

Practice Phone: 253-459-0295
Practice Fax: 253-565-5899

1033118344 — ERIN ALANE JACOBSON ARNP
Practice Location Address:

6212 75TH ST W
LAKEWOOD, WA
98499-8368

Practice Phone: 253-983-8507
Practice Fax: 253-983-8576

1912955998 — DR. DAVID J. PERRY PHD
Practice Location Address:

6212 75TH ST W
LAKEWOOD, WA
98499-8368

Practice Phone: 253-588-0580
Practice Fax: 253-588-0580

1548216799 — MEIER CLINICS OF CALIFORNIA, INC.
Practice Location Address:

6212 75TH ST W
LAKEWOOD, WA
98499-8368

Practice Phone: 972-437-4698
Practice Fax: 972-671-2087

1881610731 — KOLEMAN R FINKELSTEIN OD
Practice Location Address:

910 W ESPLANADE AVE , VISION OPTIQUE
KENNER, LA
70065-6212

Practice Phone: 504-467-7095
Practice Fax:

1255357448 — JEANNE SZARZYNSKI PA-C
Practice Location Address:

515 W PUEBLO ST
SANTA BARBARA, CA
93105-6212

Practice Phone: 805-681-1760
Practice Fax: 805-681-1768

Directions to “FLORIDA SHORES ASSISTED LIVING FACILITY INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.