Organization
SIESTA SPRING HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (SECRETARY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
206 W ORANGE ST, DAVENPORT, FL 33837-3118
(863) 422-4961
(949) 540-3007
Mailing address
206 W ORANGE ST, DAVENPORT, FL 33837-3118
(863) 422-4961
(949) 540-3007
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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