Sa-Enc Fort Myers LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

252131 Issued in FL

Legal business name

SA-ENC FORT MYERS LLC

Doing business as

Citrus Gardens of Fort Myers

Practice address

7173 Cypress Dr
Fort Myers, FL 33907-2938

Phone

(239) 936-0203

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ari Markenson, J.D., M.P.H.

Title

Associate General Counsel

Phone

(914) 390-4366

Specialties & licenses 1

Addresses

Other names 1

• Citrus Gardens of Fort Myers Doing business as

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1285784165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 S BROADWAY",
            "address_2": "SUITE 614",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014425",
            "telephone_number": "914-390-4300",
            "fax_number": "866-280-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7173 CYPRESS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072938",
            "telephone_number": "239-936-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA-ENC FORT MYERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "MARKENSON",
        "authorized_official_first_name": "ARI",
        "authorized_official_title_or_position": "ASSOCIATE GENERAL COUNSEL",
        "authorized_official_telephone_number": "914-390-4366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "252131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Gardens of Fort Myers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fanessa Ryder, CPT
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• Khalid Sabha, MD

• Skilled Nursing Facility in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.