Organization
BRIDGEPORT SENIOR LIVING - PORT ISLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GALBASINI (OWNER)
(407) 760-3649
Entity
Organization
Contact information
Practice address
13506 SUMMERPORT VILLAGE PKWY, #129, WINDERMERE, FL 34786-7366
(407) 760-3649
Mailing address
13506 SUMMERPORT VILLAGE PKWY, #129, WINDERMERE, FL 34786-7366
(407) 760-3649
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
12372
FL
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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