Provider Demographics
NPI:1548386667
Name:LA FLORIDA, LLC
Entity Type:Organization
Organization Name:LA FLORIDA, LLC
Other - Org Name:OJUMA, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-928-0466
Mailing Address - Street 1:1701 QUAMASIA AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3714
Mailing Address - Country:US
Mailing Address - Phone:956-928-0466
Mailing Address - Fax:956-928-0466
Practice Address - Street 1:1701 QUAMASIA AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3714
Practice Address - Country:US
Practice Address - Phone:956-928-0466
Practice Address - Fax:956-928-0466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility