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NPI Code Detail

MEDICARE: EMERALD OAKES HEALTH CARE ASSOCIATES LLC

MEDICARE: EMERALD OAKES HEALTH CARE ASSOCIATES 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 FacilitySNF11420962FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750337226
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERALD OAKES HEALTH CARE ASSOCIATES LLC
Provider Business Mailing Address
First Line : 1507 S TUTTLE AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34239-2608
Country : US
Telephone Number : 941-366-0336
Fax Number : 941-366-0440
Provider Business Practice Location Address
First Line : 1507 S TUTTLE AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34239-2608
Country : US
Telephone Number : 941-366-0336
Fax Number : 941-366-0440
Authorized Official
Title or Position : MANAGER
Name : TAMMY M. LOZEAU-DENTICI
Credential :
Telephone Number : 941-366-0336
Provider Enumeration Date : 05/26/2006
Last Update Date : 08/02/2012

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Directions to “EMERALD OAKES HEALTH CARE ASSOCIATES LLC ” Practice Location

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