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

Lubis Enterprise LLC

Organization Assisted Living Facility · NPI 1477175636

Lubis Enterprise LLC is an Assisted Living Facility in Fruitland Park, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

36321 Grays Airport Rd
Fruitland Park, FL 34731-5418
Phone: (352) 460-0754
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1477175636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deviano Lubis — Owner · (352) 787-3034
NPI enumeratedMay 11, 2020
Last updated in NPPESMay 11, 2020
Certification dateMay 11, 2020
Mailing address36321 Grays Airport Rd, Fruitland Park, FL 34731-5418

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