# ALLIANCE FOUNDATION OF FLORIDA-INDIGO MANOR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALLIANCE FOUNDATION OF FLORIDA, INC
- **Other names:** Taffi Medical
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912394537
- **Legal business name:** ALLIANCE FOUNDATION OF FLORIDA, INC
- **Authorized official:** MR. CHRISTOPHER TOWNSEND (VICE PRESIDENT)
- **Authorized official phone:** (386) 225-4700

## Contact information

- **Practice address:** 145 CYPRESS POINT PKWY, SUITE 208, PALM COAST, FL 32164-8426
- **Practice address phone:** (386) 225-4700
- **Practice address fax:** (386) 225-4627
- **Mailing address:** 148 CYPRESS POINT PKWY SUITE 208, PALM COAST, FL 32164-8426
- **Mailing address phone:** (386) 225-4700
- **Mailing address fax:** (386) 225-4627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1314098 | FL | Yes |

## Other

- **Enumeration date:** 04/21/2015
- **Last updated:** 04/21/2015
