Provider Demographics
NPI:1578453171
Name:COLLIERS AT TAMARAC OPCO, LLC
Entity type:Organization
Organization Name:COLLIERS AT TAMARAC OPCO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALCIDES
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGUI
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:813-447-9260
Mailing Address - Street 1:218 E BEARSS AVE STE 333
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-1625
Mailing Address - Country:US
Mailing Address - Phone:813-447-9260
Mailing Address - Fax:
Practice Address - Street 1:7650 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2967
Practice Address - Country:US
Practice Address - Phone:813-447-9260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility