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Organization
TAMIAMI HAVEN ALF LLC
Active
Organization
TAMIAMI HAVEN ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMYS GONZALEZ (OWNER)
(305) 554-8627
Entity
Organization
Contact information
Practice address
2472 SW 113TH CT, MIAMI, FL 33165-2249
(305) 554-8627
(305) 554-8627
Mailing address
2472 SW 113TH CT, MIAMI, FL 33165-2249
(305) 554-8627
(305) 554-8627
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10749
AHCA
FL
Enumeration date
07/07/2025
Last updated
07/07/2025
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