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Organization

PUNTA GORDA MEDICAL INVESTORS, LLC

Active
Other names
Life Care Center of Punta Gorda
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY S CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization

Contact information

Practice address
450 SHREVE ST, PUNTA GORDA, FL 33950-3325
(941) 639-8771
(941) 639-3422
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8344

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF12940961
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0 311685-00
FL
05
020550800
FL
Enumeration date
07/15/2006
Last updated
03/16/2017
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