Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beacon of Life Florida LLC

Organization PACE Provider Organization · NPI 1669339289

Beacon of Life Florida LLC is a PACE Provider Organization in Holly Hill, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1200 Synergy Way Bldg P
Holly Hill, FL 32117-2502
Phone: (855) 801-2653
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

PACE Provider Organization (primary) Taxonomy 251T00000X

Record details

NPI number1669339289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Czermak — Cao · (855) 801-2653
NPI enumeratedJanuary 6, 2026
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address1200 Synergy Way Bldg P, Holly Hill, FL 32117-2502