MEDICARE: FLORIDA SERVICES HOME CARE, INC.

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	:	1528209806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA SERVICES HOME CARE, INC.

Provider Business Mailing Address
First Line	:	6915 S RED RD
Second Line	:	SUITE 213
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-3654
Country	:	US
Telephone Number	:	305-663-2551
Fax Number	:	305-663-2552

Provider Business Practice Location Address
First Line	:	6915 S RED RD
Second Line	:	SUITE 213
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-3654
Country	:	US
Telephone Number	:	305-663-2551
Fax Number	:	305-663-2552

Authorized Official
Title or Position	:	ADMINISTRATOR/DIRECTOR OF NURSING
Name	:	MS. DIANELIS MANRUFO
Credential	:	RN
Telephone Number	:	756-281-0243

Provider Enumeration Date	:	03/16/2009
Last Update Date	:	03/16/2009

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