United States Fellowship of Florida, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL8523 Issued in FL

Legal business name

UNITED STATES FELLOWSHIP OF FLORIDA, INC.

Practice address

1320 Coco Plum Dr
Marathon, FL 33050-4015

Phone

(305) 743-4129

Fax

(305) 743-5137

NPI assigned

Jun 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Clare Condra

Title

Administrator

Phone

(305) 743-4129

Specialties & licenses 1

Addresses

Other names 1

• The Heron Doing business as

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

{
    "created_epoch": "1182643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922204247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 COCO PLUM DR",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330504015",
            "telephone_number": "305-743-4129",
            "fax_number": "305-743-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 COCO PLUM DR",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330504015",
            "telephone_number": "305-743-4129",
            "fax_number": "305-743-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES FELLOWSHIP OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONDRA",
        "authorized_official_first_name": "CLARE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-743-4129",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL8523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heron",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Tracy
• Tranquility Bay Adult Day Care of Marathon Corp.
• Lloyd Wayne Tucker, RN
• Erin Turner
• Amanda Tutlewski
• Marzanna Vasington, D.O.
• Alana Vassil
• John C Vassil
• Denise Marie Jeanne Vedrenne-Rangel, DDS, MS, MPH
• Nahim P. Vega, PA-C

• Assisted Living Facility (Mental Illness) in Marathon, FL
• Providers in Marathon, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.