Estapona Operating, LLC
NPI #1164064390 in Fern Park, Florida
Provider Information
- NPI Number
- 1164064390
- Entity Type
- Organization
- Organization Name
- Estapona Operating, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Oct 9, 2019
- Last Updated
- May 11, 2022
Practice Location
Authorized Official
- Name
- CARRIE VICK
- Title
- PRESIDENT
- Phone
- (407) 740-8815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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