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NPI Code Detail

MEDICARE: FI-CASA MORA, LLC

MEDICARE: FI-CASA MORA, 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 FacilitySNF11660961FL

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 : 1942204607
Entity Type Code : Organization
Provider Name (Legal Business Name) : FI-CASA MORA, LLC
Provider Business Mailing Address
First Line : 1665 PALM BEACH LAKES BLVD STE 400
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2108
Country : US
Telephone Number : 561-801-7600
Fax Number : 414-268-4811
Provider Business Practice Location Address
First Line : 1902 59TH ST W
Second Line :
City : BRADENTON
State : FL
Zip : 34209-4602
Country : US
Telephone Number : 941-761-1000
Fax Number : 941-761-1009
Authorized Official
Title or Position : PRESIDENT
Name : HOWARD JAFFE
Credential :
Telephone Number : 215-346-6454
Provider Enumeration Date : 06/10/2005
Last Update Date : 06/11/2025

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Directions to “FI-CASA MORA, LLC ” Practice Location

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