Healthcare Provider Details

I. General information

NPI: 1184558488
Provider Name (Legal Business Name): FREEDOMCARE OF FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 W PINE ST STE 314
ORLANDO FL
32801-2647
US

IV. Provider business mailing address

1001 2ND AVE
NEW HYDE PARK NY
11040-4979
US

V. Phone/Fax

Practice location:
  • Phone: 305-417-7077
  • Fax: 305-876-3188
Mailing address:
  • Phone: 305-417-7077
  • Fax: 305-876-3188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CAITLIN GRIFFIN
Title or Position: DIRECTOR, NATIONAL EXPANSION
Credential:
Phone: 315-304-5151