DJMP Management Florida LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DJMP MANAGEMENT FLORIDA LLC

Practice address

4104 Foxtail CT
Kissimmee, FL 34746-3305

Phone

(321) 662-3408

NPI assigned

Sep 20, 2018

Organization subpart

No

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

Authorized official

Name

Beverly Ann Brylowski

Title

Vice President

Phone

(321) 662-3408

Specialties & licenses 1

Addresses

Other names 1

• Foxtail Lodge Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John R Moy, DPM

  • Primary Podiatric Medicine Podiatrist
  • Orlando, FL
  • NPI 1649251786
  NPD (past)

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1861976342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 FOXTAIL CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463305",
            "telephone_number": "321-662-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 FOXTAIL CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463305",
            "telephone_number": "321-662-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJMP MANAGEMENT FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "BRYLOWSKI",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "321-662-3408"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foxtail Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Kissimmee, FL
• Providers in Kissimmee, 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 Sep 20, 2018; 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.