Populus Primus LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1003625112

Populus Primus LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wimauma, Florida. Registered with an NPI since 2025.

In the registry since: 2025

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

14523 Callen Glen Way
Wimauma, FL 33598-6179
Phone: (727) 226-2196

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

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X

Record details

NPI number	1003625112
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Tanisha Foster — Owner · (727) 226-2196
NPI enumerated	January 3, 2025
Last updated in NPPES	January 3, 2025
Certification date	January 3, 2025
Mailing address	14523 Callen Glen Way, Wimauma, FL 33598-6179