Healthcare Provider Details

I. General information

NPI: 1174372510
Provider Name (Legal Business Name): VITAS HEALTHCARE CORPORATION OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2024
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2852 REMINGTON GREEN CIR STE 101&102
TALLAHASSEE FL
32308-8710
US

IV. Provider business mailing address

3046 CORPORATE WAY
MIRAMAR FL
33025-6547
US

V. Phone/Fax

Practice location:
  • Phone: 850-262-7830
  • Fax:
Mailing address:
  • Phone: 305-374-4143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS WESTFALL
Title or Position: PRESIDENT & CEO
Credential:
Phone: 513-618-2240