Healthcare Provider Details

I. General information

NPI: 1275975609
Provider Name (Legal Business Name): HEALTHCARE PROS OF FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2013
Last Update Date: 07/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 W 76TH ST SUITE 409
HIALEAH FL
33016-5539
US

IV. Provider business mailing address

2100 W 76TH ST SUITE 409
HIALEAH FL
33016-5539
US

V. Phone/Fax

Practice location:
  • Phone: 786-615-2338
  • Fax: 786-615-2337
Mailing address:
  • Phone: 786-615-2338
  • Fax: 786-615-2337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: MS. VANESSA TAYLOR
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 786-615-2338