12170 Cortez Blvd Opco LLC
NPI #1508638834 in Brooksville, Florida
Provider Information
- NPI Number
- 1508638834
- Entity Type
- Organization
- Organization Name
- 12170 Cortez Blvd Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 30, 2023
- Last Updated
- Apr 9, 2025
Practice Location
- Address
- 12170 CORTEZ BLVD
- City
- Brooksville
- State
- Florida
- ZIP Code
- 34613-5578
- Phone
- (352) 597-5100
Authorized Official
- Name
- NATHAN FREUND
- Title
- MANAGER
- Phone
- (732) 730-7480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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