Long Term Care of Gulf Breeze LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9664 Issued in FL

Legal business name

LONG TERM CARE OF GULF BREEZE LLC

Practice address

101 McAbee CT
Gulf Breeze, FL 32561-4756

Phone

(850) 934-1061

NPI assigned

Oct 9, 2014

Organization subpart

No

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

Authorized official

Name

Jack R Floyd

Title

Managing Member

Phone

(850) 934-1061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1841694528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MCABEE CT",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614756",
            "telephone_number": "850-934-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MCABEE CT",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614756",
            "telephone_number": "850-934-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG TERM CARE OF GULF BREEZE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "850-934-1061"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Benjamin F Lloyd, MD
• Benjamin James Lockhart, DPT
• Gabriella Lockhart
• Adam Arthur Long, ATC
• Kenneth W Long, MD
• Bridgette Dean Lowery, PT, DPT
• Jeremy Curtis Lowery, ATC
• Tammy Annette Lowrey-Ridgley

• Assisted Living Facility in Gulf Breeze, FL
• Providers in Gulf Breeze, 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 Oct 9, 2014; 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.