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

Lubis Enterprise LLC

Organization Assisted Living Facility · NPI 1972125136

Lubis Enterprise LLC is an Assisted Living Facility in Leesburg, 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

1205 Bonaire Dr
Leesburg, FL 34748-5707
Phone: (352) 787-2573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1972125136
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 address1205 Bonaire Dr, Leesburg, FL 34748-5707

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