Paraiso Dos Gardenias III LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PARAISO DOS GARDENIAS III LLC

Practice address

11360 NW 29TH St
Sunrise, FL 33323-1659

Phone

(954) 749-3138

Fax

(786) 513-0427

NPI assigned

Jul 11, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michel Leon Fernandez

Title

Owner

Phone

(954) 749-3138

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1114818697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11360 NW 29TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333231659",
            "telephone_number": "954-749-3138",
            "fax_number": "786-513-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11360 NW 29TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333231659",
            "telephone_number": "954-749-3138",
            "fax_number": "786-513-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAISO DOS GARDENIAS III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "LEON FERNANDEZ",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-749-3138"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "9462",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Panozzo, D.O.
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• Adlai L Pappy, MD
• Elizabeth T. Paquette, CRNA
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• Annemarie Parapar, MSW
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• Jaroslaw S. Parkolap, MD

• Assisted Living Facility in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.