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NPI Code Detail

MEDICARE: AWARD CARE AT COLONIAL LAKES LLC

MEDICARE: AWARD CARE AT COLONIAL LAKES LLC
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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1326994633
Entity Type Code : Organization
Provider Name (Legal Business Name) : AWARD CARE AT COLONIAL LAKES LLC
Provider Business Mailing Address
First Line : 15204 W COLONIAL DR
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-6042
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15204 W COLONIAL DR
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-6042
Country : US
Telephone Number : 407-877-2394
Fax Number :
Authorized Official
Title or Position : CEO
Name : YISROEL GELBSTEIN
Credential :
Telephone Number : 407-877-2394
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “AWARD CARE AT COLONIAL LAKES LLC ” Practice Location

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