Future Smiles Senior Living II, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FUTURE SMILES SENIOR LIVING II, LLC

Practice address

1514 SW Leisure LN
Port Saint Lucie, FL 34953-1635

Phone

(772) 300-6670

NPI assigned

May 10, 2023

Last updated

May 11, 2023By 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

Fernando J Bras, ACCOUNTING

Title

President/Ceo

Phone

(772) 300-6670

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1528758901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 SW LEISURE LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531635",
            "telephone_number": "772-300-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 SW LEISURE LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531635",
            "telephone_number": "772-300-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE SMILES SENIOR LIVING II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "BRAS",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "772-300-6670",
        "authorized_official_credential": "ACCOUNTING"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• FX Surgical LLC

• Assisted Living Facility in Port Saint Lucie, FL
• Providers in Port Saint Lucie, 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 May 11, 2023; 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.