Most Relevant Information
Provider Data
| NPI Number: | 1003288499 |
| Provider Name: | EDITH BORT MANAGER |
| Entity Type: | Individual |
| Taxonomy Code: | 310400000X |
| Specialty: | Assisted Living Facility |
| License Number: | 13771 |
Most Important Dates
| Enumeration Date: | 10/23/2015 |
| Last Updated: | 08/12/2024 |
Provider Practice Location
8378 FORT CLINCH AVE
ORLANDO
FL
328227179
Practice Location Phone/Fax
| Phone: | 4077190496 |
| Fax: | 4073749948 |
Provider Mailing Location
227 WOODBURY PINES CIR
ORLANDO
FL
328289086
Provider Mailing Phone/Fax
| Phone: | 4077190496 |
| Fax: | 4073749948 |