Healthcare Provider Details

I. General information

NPI: 1861998239
Provider Name (Legal Business Name): FLORIDA CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 04/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 PONCE DE LEON BLVD STE 200
CORAL GABLES FL
33134-3336
US

IV. Provider business mailing address

1000 PONCE DE LEON BLVD STE 200
CORAL GABLES FL
33134-3336
US

V. Phone/Fax

Practice location:
  • Phone: 786-314-2249
  • Fax:
Mailing address:
  • Phone:
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: YOEL RODRIGUEZ
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 786-273-8935