Healthcare Provider Details

I. General information

NPI: 1528113792
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: 07/07/2023
Certification Date: 07/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14900 NW 79TH CT
MIAMI LAKES FL
33016-5790
US

IV. Provider business mailing address

3046 CORPORATE WAY
MIRAMAR FL
33025-6547
US

V. Phone/Fax

Practice location:
  • Phone: 305-654-3718
  • Fax: 305-690-4870
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 Number5036096
License Number StateFL

VIII. Authorized Official

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