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NPI Code Detail

MEDICARE: ASSURED & ASSOCIATES PERSONAL CARE OF FL, LLC

MEDICARE: ASSURED & ASSOCIATES PERSONAL CARE OF FL, 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 : 1568772994
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSURED & ASSOCIATES PERSONAL CARE OF FL, LLC
Provider Business Mailing Address
First Line : 8336 OFFICE PARK DR
Second Line :
City : DOUGLASVILLE
State : GA
Zip : 30134-6937
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1800 PEMBROOK DR STE 300
Second Line :
City : ORLANDO
State : FL
Zip : 32810-6378
Country : US
Telephone Number : 407-667-3410
Fax Number :
Authorized Official
Title or Position : CEO
Name : RUBY BROWN
Credential :
Telephone Number : 678-391-0140
Provider Enumeration Date : 10/19/2010
Last Update Date : 10/19/2010

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Directions to “ASSURED & ASSOCIATES PERSONAL CARE OF FL, LLC ” Practice Location

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