Lake Seminole Square Management Company, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKE SEMINOLE SQUARE MANAGEMENT COMPANY, LLC

Practice address

8333 Seminole Blvd
Seminole, FL 33772-4376

Phone

(727) 391-0500

NPI assigned

Jul 19, 2013

Organization subpart

No

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

Authorized official

Name

Mark Ohlendorf

Title

Co-President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Lake Seminole Square Doing business as

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1275975278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST",
            "address_2": "SUITE 2300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 SEMINOLE BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724376",
            "telephone_number": "727-391-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SEMINOLE SQUARE MANAGEMENT COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "OHLENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Seminole Square",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward J Kucharik, D.C.
• Jennifer L'Eon
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• Charles H Lacoste, DC
• Lake Balaton, Inc.
• Lakeside Optical Inc
• Peter S Lally, RPT
• Allen Dwayne Lamasco
• Amanda Marie Laurenzo, PHARM D
• Keanan Lawrence, AGACNP-BC

• Assisted Living Facility in Seminole, FL
• Providers in Seminole, 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 19, 2013; 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.