Organization
COLLIERS AT PORT ORANGE OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALCIDES SEGUI SR. (CEO)
(813) 447-9260
Entity
Organization
Contact information
Practice address
1675 DUNLAWTON AVE, PORT ORANGE, FL 32127-4755
(386) 232-8943
Mailing address
218 E BEARSS AVE STE 333, TAMPA, FL 33613-1625
(813) 447-9260
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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