Healthcare Provider Details

I. General information

NPI: 1144375320
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: 10/31/2022
Certification Date: 10/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5420 NW 33RD AVE SUITE 100
FT LAUDERDALE FL
33309
US

IV. Provider business mailing address

3046 CORPORATE WAY
MIRAMAR FL
33025-6547
US

V. Phone/Fax

Practice location:
  • Phone: 954-486-4085
  • Fax: 954-777-5328
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 Number50370961
License Number StateFL

VIII. Authorized Official

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