SF III TLF, LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

TLF7006096 Issued in FL

Legal business name

SF III TLF, LLC

Doing business as

Finr
Lakeside Neurologic

Practice address

1962 Vandolah Road
Wauchula, FL 33873

Phone

(863) 773-2857

Fax

(863) 773-2041

NPI assigned

Sep 20, 2006

Last updated

Jun 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Choquette

Title

Collections Manager

Phone

(863) 767-4484

Specialties & licenses 5

Addresses

Other names 2

• FINR Doing business as
• LAKESIDE NEUROLOGIC Doing business as

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1225135353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1348",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338731348",
            "telephone_number": "863-773-2857",
            "fax_number": "863-773-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 VANDOLAH ROAD",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "33873",
            "telephone_number": "863-773-2857",
            "fax_number": "863-773-2041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 S Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Wauchula",
            "state": "FL",
            "postal_code": "338733412",
            "country_code": "US",
            "telephone_number": "863-773-2857",
            "fax_number": "863-773-2041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SF III TLF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "CHOQUETTE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "COLLECTIONS MANAGER",
        "authorized_official_telephone_number": "863-767-4484",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "FL",
            "license": "TLF7006096",
            "primary": true
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "FL",
            "license": "TLF70090971",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "TLF7006096",
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "FL",
            "license": "TLF7006096",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "FL",
            "license": "100045445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FINR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FINR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAKESIDE NEUROLOGIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.