Royal Palm Retirement, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL3915 Issued in FL

Legal business name

ROYAL PALM RETIREMENT, LLC

Doing business as

Royal Palm Retirement Centre

Practice address

2500 Aaron St
Port Charlotte, FL 33952-6743

Phone

(941) 627-6762

Fax

(941) 627-9890

NPI assigned

Apr 4, 2013

Last updated

Apr 4, 2013By 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

Mr. Steven Piazza

Title

Manager

Phone

(727) 726-3980

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Royal Palm Retirement Centre Doing business as

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1841533122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13770 58TH ST N",
            "address_2": "SUITE 312",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603759",
            "telephone_number": "727-726-3980",
            "fax_number": "727-726-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 AARON ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526743",
            "telephone_number": "941-627-6762",
            "fax_number": "941-627-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PALM RETIREMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "PIAZZA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-726-3980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL3915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003636500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Palm Retirement Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louis Rosenfield, M.D.
• Jose Augusto Ross, MD
• Rhonda Michelle Ross, PSY.D.
• David Wayne Rowe, DMD
• Brittany Roy, COTA
• Odel Ruano, MD
• Ruben Guzman MD PA
• Dennis Jason Ruditser, M.D.
• Karen Rudolph, APRN
• Ariana Rupan

• Assisted Living Facility in Port Charlotte, FL
• Providers in Port Charlotte, 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 Apr 4, 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.