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SOUTHERN GARDENS FL AL MANAGEMENT LLC
NPI 1356909642
Assisted Living Facility in Lake Alfred, FL

Active since May 31, 2019
255 E MAIN ST, LAKE ALFRED, FL 33850(863) 956-0411 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Gardens Fl Al Management Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN GARDENS FL AL MANAGEMENT LLC (NPI 1356909642), doing business as The Gardens Of Lake Alfred, is a healthcare organization registered as an assisted living facility in Lake Alfred, Florida and active in the NPI registry since May 2019. The organization lists Cameron Marsh, Corporate Finance, as its authorized official.

NPPES Registry Identity

NPI1356909642
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHERN GARDENS FL AL MANAGEMENT LLC
Location Address255 E MAIN STLake Alfred, FL 33850-2133
Mailing Address480 Fentress Blvd Ste HDaytona Beach, FL 32114-1237
Phone(863) 956-0411
Organization SubpartNo
Authorized OfficialCameron MarshCorporate Finance · (386) 255-1054
Enumeration DateMay 31, 2019
✔ NPI 1356909642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
255 E MAIN ST, Lake Alfred, FL 33850
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Other Names 1

Doing Business AsThe Gardens Of Lake Alfred

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA DON REXROAD PTA
Physical Therapy Assistant
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (863) 956-0411
MRS. CAITLIN COULTON COTA/L
Occupational Therapy Assistant
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (863) 956-0411
SHERI ANNETTE FOLLIS PTA
Physical Therapy Assistant
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (863) 662-5690
SOUTHERN GARDENS, LLC
Assisted Living Facility
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (863) 956-0411
DR. KYLIE T ODPARLIK PT, DPT
Physical Therapist
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (863) 956-0411
NIC 4 SOUTHERN GARDENS LEASING LLC
Assisted Living Facility
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (212) 479-5343
TARA WOODWARD PTA
Physical Therapy Assistant
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (863) 956-0411
JEFF GALLICHAN PTA
Physical Therapy Assistant
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (727) 803-1102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Gardens Fl Al Management LLC's NPI number?

The NPI number for Southern Gardens Fl Al Management LLC is 1356909642. It was assigned to this organization in the NPPES registry on May 31, 2019. The provider is doing business as The Gardens of Lake Alfred.

Where is Southern Gardens Fl Al Management LLC located?

Southern Gardens Fl Al Management LLC is located at 255 E Main St, Lake Alfred, FL 33850. The listed phone number is (863) 956-0411.

What is Southern Gardens Fl Al Management LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Southern Gardens Fl Al Management LLC was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.