Healthcare Provider Details

I. General information

NPI: 1346629961
Provider Name (Legal Business Name): AURAND HOME VISITS MHT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2015
Last Update Date: 05/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17888 67TH CT N
LOXAHATCHEE FL
33470-3275
US

IV. Provider business mailing address

17888 67TH CT N
LOXAHATCHEE FL
33470-3275
US

V. Phone/Fax

Practice location:
  • Phone: 972-616-4932
  • Fax: 877-489-3949
Mailing address:
  • Phone: 972-616-4932
  • Fax: 877-489-3949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME64447
License Number StateFL

VIII. Authorized Official

Name: JAMES A AURAND
Title or Position: OWNER / PRESIDENT
Credential: MD
Phone: 321-544-1444