Organization
PARAISO DOS GARDENIAS III LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEL LEON FERNANDEZ (OWNER)
(954) 749-3138
Entity
Organization
Contact information
Practice address
11360 NW 29TH ST, SUNRISE, FL 33323-1659
(954) 749-3138
(786) 513-0427
Mailing address
11360 NW 29TH ST, SUNRISE, FL 33323-1659
(954) 749-3138
(786) 513-0427
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9462
AHCA
FL
Enumeration date
07/11/2025
Last updated
07/11/2025
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