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NPI Code Detail

MEDICARE: CENTRAL FLORIDA HOME HEALTH, LLC

MEDICARE: CENTRAL FLORIDA HOME HEALTH, 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 Agency

General Provider Information

NPI Number : 1326297474
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL FLORIDA HOME HEALTH, LLC
Provider Business Mailing Address
First Line : 1200 W SR 434
Second Line : SUITE 112
City : LONGWOOD
State : FL
Zip : 32750-4986
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 W SR 434
Second Line : SUITE 112
City : LONGWOOD
State : FL
Zip : 32750-4986
Country : US
Telephone Number : 407-956-1910
Fax Number :
Authorized Official
Title or Position : CEO
Name : MRS. MONICA GOSS
Credential :
Telephone Number : 407-956-1910
Provider Enumeration Date : 09/13/2008
Last Update Date : 10/07/2011

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Directions to “CENTRAL FLORIDA HOME HEALTH, LLC ” Practice Location

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