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Contact Information

WEDGEWOOD OPERATING LLC
1010 CARPENTERS WAY
LAKELAND, FL33809-3926
 Phone: 863-815-0488
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for WEDGEWOOD OPERATING LLC

NPI Number 1487437448
LBN Legal business name WEDGEWOOD OPERATING LLC
Authorized official JACOB ZAHLER - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/15/2023
Last updated 11/23/2025 - About 6 months 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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