Organization
FUTURE SMILES SENIOR LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO J BRAS ACCOUNTING (PRESIDENT/CEO)
(772) 300-6670
Entity
Organization
Contact information
Practice address
4645 SW VAHALLA STREET, PORT SAINT LUCIE, FL 34953
(772) 878-5547
Mailing address
4645 SW VAHALLA STREET, PORT SAINT LUCIE, FL 34953
(772) 878-5547
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115155700
—
FL
Enumeration date
12/05/2021
Last updated
03/28/2023
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