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

Mizada Inc

Organization Assisted Living Facility · NPI 1417206400

Mizada Inc is an Assisted Living Facility in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3726 SW Manak St
Port St Lucie, FL 34953-7705
Phone: (772) 336-5884
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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 · Licence AH12155 (FL)

Record details

NPI number1417206400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Lightbourn — President · (772) 336-5884
Other names Mizada Assistant Living Facility
NPI enumeratedSeptember 5, 2012
Last updated in NPPESSeptember 5, 2012
Mailing address3726 Sw Manak St, Port St Lucie, FL 34953-7705

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