NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1013167691 |   |   |   | LAKE MORTON PLAZA, LLC | 400 S FLORIDA AVE | LAKELAND | FL | 338015254 |
1801230206 |   |   |   | NIC 5 LAKE MORTON PLAZA LEASING LLC | PO BOX 1700 C/O HOLIDAY RETIREMENT | LAKE OSWEGO | OR | 97035 |