Organization
BEACON OF LIFE FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CZERMAK (CAO)
(855) 801-2653
Entity
Organization
Contact information
Practice address
1200 SYNERGY WAY BLDG P, HOLLY HILL, FL 32117-2502
(855) 801-2653
Mailing address
1200 SYNERGY WAY BLDG P, HOLLY HILL, FL 32117-2502
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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