Provider Demographics
NPI:1205078136
Name:D&F ASSOCIATES LLC
Entity type:Organization
Organization Name:D&F ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:FUSIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-662-1535
Mailing Address - Street 1:3918 S KINGS AVE
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-7749
Mailing Address - Country:US
Mailing Address - Phone:813-662-1535
Mailing Address - Fax:813-681-3585
Practice Address - Street 1:3918 S KINGS AVE
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-7749
Practice Address - Country:US
Practice Address - Phone:813-662-1535
Practice Address - Fax:813-681-3585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9059310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility