Healthcare Provider Details

I. General information

NPI: 1467507657
Provider Name (Legal Business Name): VITAS HEALTHCARE CORPORATION OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 05/17/2021
Certification Date: 05/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 S CONGRESS AVE SUITE 420
BOYNTON BEACH FL
33426-6556
US

IV. Provider business mailing address

3046 CORPORATE WAY
MIRAMAR FL
33025-6547
US

V. Phone/Fax

Practice location:
  • Phone: 561-364-1479
  • Fax: 561-734-6342
Mailing address:
  • Phone: 305-350-6756
  • Fax: 305-350-6993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number50370967
License Number StateFL

VIII. Authorized Official

Name: NICK WESTFALL
Title or Position: CEO
Credential:
Phone: 305-374-4143