# FLORIDA FACILITISTS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043252307
- **Authorized official:** MR. JOHN HANSON RAUCH (MANAGER)
- **Authorized official phone:** (321) 273-0301

## Contact information

- **Practice address:** 1450 W LAKE BRANTLEY RD, LONGWOOD, FL 32779-4766
- **Practice address phone:** (321) 273-0301
- **Mailing address:** 2000 PREVATT ST, SUITE B3, EUSTIS, FL 32726-6149
- **Mailing address phone:** (321) 273-0301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 09/11/2025