Four Magnolias LLC.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

FOUR MAGNOLIAS LLC.

Practice address

21297 Olean Blvd Ste a
Port Charlotte, FL 33952-6704

Phone

(941) 235-8226

Fax

(941) 235-8360

NPI assigned

Jul 26, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Yiliam Rodriguez

Title

Owner

Phone

(305) 748-1047

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1753488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1508749722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21297 OLEAN BLVD STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526704",
            "telephone_number": "941-235-8226",
            "fax_number": "941-235-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21297 OLEAN BLVD STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526704",
            "telephone_number": "941-235-8226",
            "fax_number": "941-235-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR MAGNOLIAS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-26",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "YILIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-748-1047",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1288695",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tesharia Folkes, LCSW
• Julia Kah Fombi
• Theodore John Fonfara, HAS
• Foot & Ankle Center of Florida LLC
• Anisley Forjan Bravo
• Michele Lorraine Fowler, PHARM D
• Amy Melina Dosoretz Fox, MD
• Megan Frajerman
• Nalton France II
• Timothy Francis, PA

• Adult Day Care Clinic/Center in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.