1061 Virginia Street Operations LLC
1061 Virginia Street Operations LLC is a Skilled Nursing Facility in Dunedin, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1061 Virginia StDunedin, FL 34698-7326
Phone: (727) 733-4189
Fax: (727) 734-7651
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence SNF15100962 (FL) |
|---|
Record details
| NPI number | 1174892947 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Ussery — Vp · (407) 571-1550 |
| Other names | Lakeside Oaks Care Center; Lakeside Oaks Care Center |
| NPI enumerated | December 22, 2011 |
| Last updated in NPPES | November 27, 2023 |
| Certification date | May 7, 2020 |
| Mailing address | 1061 Virginia St, Dunedin, FL 34698-7326 |
Clinicians affiliated with this facility
- Larry R. Levine, DO General Practice Physician · Dunedin, FL
- Dr. Eduardo P Palanca, MD Family Medicine Physician · Safety Harbor, FL
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1061 Virginia St Opco LLC
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