Organization
PONCE NH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE SCHEINER (CEO)
(813) 557-6200
Entity
Organization
Contact information
Practice address
1999 OLD MOULTRIE RD, ST AUGUSTINE, FL 32086-5164
(904) 824-3311
Mailing address
4042 PARK OAKS BLVD STE 300, TAMPA, FL 33610-9539
(813) 675-2289
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
06/27/2021
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