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Contact Information

SF BREVARD, LLC
298 SW PROSPERITY PLACE
LAKE CITY, FL32024
 Phone: 833-623-3093
 Fax: 833-623-3093
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for SF BREVARD, LLC

NPI # 1083170534
LBN Legal business name SF BREVARD, LLC
Authorized official JAMES RICHARDSON - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/20/2019
Last updated 02/20/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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