Healthcare Provider Details

I. General information

NPI: 1669351656
Provider Name (Legal Business Name): START PROFESSIONAL CARE & SUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8359 BEACON BLVD STE 408
FORT MYERS FL
33907-3062
US

IV. Provider business mailing address

11117 W OKEECHOBEE RD STE 130
HIALEAH GARDENS FL
33018-4210
US

V. Phone/Fax

Practice location:
  • Phone: 305-396-8973
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MADLIN MARICHAL
Title or Position: OWNER
Credential:
Phone: 786-442-6465