Healthcare Provider Details

I. General information

NPI: 1265360333
Provider Name (Legal Business Name): FUTURE SMILES HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4645 SW VAHALLA ST
PORT SAINT LUCIE FL
34953-6776
US

IV. Provider business mailing address

4645 SW VAHALLA ST
PORT SAINT LUCIE FL
34953-6776
US

V. Phone/Fax

Practice location:
  • Phone: 772-878-5547
  • Fax:
Mailing address:
  • Phone: 772-878-5547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: FERNANDO J BRAS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 772-878-5547