OrganizationActive
Florida Shores Assisted Living Facility Inc.
NPI 1346492121 · Assisted Living Facility · Edgewater, FL
Provider details
- NPI number
- 1346492121
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Isabelo Nudalo, Owner / Administrator(386) 428-5370
- License
- AL8229 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1229 Mango Tree Dr
Edgewater, FL 32132-2005
Phone: (386) 428-5370
Fax: (386) 428-5370
Approximate (ZIP-level) locationGet directions
Mailing address
1229 Mango Tree Dr
Edgewater, FL 32132-2005
Other names (DBA / former)
- Doing business as
- Florida Shores of Edgewater Alf
Registry dates
- Enumerated
- 2008-10-11
- Last updated
- 2008-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.