<Unavail>

LBN: Toro12 Llc
<Unavail> is an health care organization with primary practice located at 1117 Massachusetts Ave , Saint Cloud FL 34769-3787. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Toro12 Llc can be contacted via phone (407) 593-6521, or through Dygdon, Jacek via phone (386) 315-0899.

Contact Information

Primary practice address
1117 Massachusetts Ave Saint Cloud FL 34769-3787
Phone: (407) 593-6521
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dygdon, Jacek
Phone: (386) 315-0899

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X AL245 Florida

Profile Details

NPI number 1295148872
LBN Legal business name Toro12 Llc
DBA Doing business as <Unavail>
Authorized official Dygdon, Jacek
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2014
Last updated Jun 11th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295148872 NPPES
Florida MEDICAID 010471600

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