Provider Demographics
NPI:1861976342
Name:DJMP MANAGEMENT FLORIDA LLC
Entity type:Organization
Organization Name:DJMP MANAGEMENT FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BRYLOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-662-3408
Mailing Address - Street 1:4104 FOXTAIL CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-3305
Mailing Address - Country:US
Mailing Address - Phone:321-662-3408
Mailing Address - Fax:
Practice Address - Street 1:4104 FOXTAIL CT
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-3305
Practice Address - Country:US
Practice Address - Phone:321-662-3408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility