Organization
WATERMAN COMMUNITIES INC
Active
Other names
Lake Care Systems, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW DUJON (PRESIDENT & CEO)
(352) 383-0051
Entity
Organization
Contact information
Practice address
300 BROOKFIELD AVE, MOUNT DORA, FL 32757-9562
(352) 383-0051
(352) 383-0796
Mailing address
250 BROOKFIELD AVE, MOUNT DORA, FL 32757-9559
(352) 383-0051
(352) 383-4693
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1138096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021068400
—
FL
01
—
K9T
BCBS PROVIDER #
FL
Enumeration date
11/28/2006
Last updated
07/29/2025
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