Healthcare Provider Details

I. General information

NPI: 1184381501
Provider Name (Legal Business Name): FLORIDA HILLS CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2021
Last Update Date: 05/03/2022
Certification Date: 05/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 FRONTAGE RD SUITE C
CLERMONT FL
34711
US

IV. Provider business mailing address

221 FRONTAGE RD SUITE C
CLERMONT FL
34711
US

V. Phone/Fax

Practice location:
  • Phone: 352-432-3906
  • Fax:
Mailing address:
  • Phone: 352-432-3906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: PAULO LABORDE
Title or Position: PRESIDENT
Credential:
Phone: 352-432-3906