Organization
CLUB AT LAKE GIBSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHARON KATZ (AUTHORIZED MEMBER)
(917) 757-2121
Entity
Organization
Contact information
Practice address
855 CARPENTERS WAY, LAKELAND, FL 33809-4157
(863) 213-3335
Mailing address
855 CARPENTERS WAY, LAKELAND, FL 33809-4157
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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