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NPI Code Detail

MEDICARE: AMEDISYS FLORIDA, LLC

MEDICARE: AMEDISYS FLORIDA, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency210050961FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184672958
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMEDISYS FLORIDA, LLC
Provider Business Mailing Address
First Line : 3854 AMERICAN WAY STE A
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-4897
Country : US
Telephone Number : 225-292-2031
Fax Number : 225-295-9678
Provider Business Practice Location Address
First Line : 1515 HERBERT ST
Second Line : SUITE 210
City : PORT ORANGE
State : FL
Zip : 32129-6104
Country : US
Telephone Number : 386-788-8313
Fax Number : 389-788-6246
Authorized Official
Title or Position : CEO
Name : JOSHUA L. PROFFITT
Credential :
Telephone Number : 337-233-1307
Provider Enumeration Date : 05/04/2006
Last Update Date : 06/05/2026

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Directions to “AMEDISYS FLORIDA, LLC ” Practice Location

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