MEDICARE: FLORIDA CARE ONE 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1407663099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA CARE ONE LLC

Provider Business Mailing Address
First Line	:	2228 SW 67TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1840
Country	:	US
Telephone Number	:	305-216-2221
Fax Number	:

Provider Business Practice Location Address
First Line	:	2228 SW 67TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1840
Country	:	US
Telephone Number	:	305-216-2221
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	ENRIQUE QUESADA
Credential	:
Telephone Number	:	305-216-2221

Provider Enumeration Date	:	12/17/2024
Last Update Date	:	12/17/2024

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