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General NPI Number Information
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NPI Number | 1053718817
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Entity Type | Organization
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Legal Business Name | PALM BREEZES HOME HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 10500 STARKEY RD
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City | SEMINOLE
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State | FL
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Zip | 33777-1137
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Country | US
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Telephone | 727-797-5173
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Fax | 727-797-4639
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Provider Business Mailing Address
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Address Line | 2033 MAIN ST SUITE 300
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City | SARASOTA
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State | FL
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Zip | 34237-6056
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Country | US
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Telephone | 941-952-9411
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Fax | 941-952-9331
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. TONY PARKER
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Credential |
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Telephone | 941-296-7278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299991967
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License Number State | FL
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