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General NPI Number Information
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NPI Number | 1164694360
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Entity Type | Organization
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Legal Business Name | FLORIDIAN HOME HEALTH CARE CORP
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 02/23/2011
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Provider Practice Location Address
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Address Line | 4445 W 16TH AVE SUITE 403
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City | HIALEAH
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State | FL
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Zip | 33012-7803
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Country | US
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Telephone | 305-824-0280
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Fax | 305-824-0281
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Provider Business Mailing Address
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Address Line | 4445 W 16TH AVE SUITE 403
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City | HIALEAH
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State | FL
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Zip | 33012-7803
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Country | US
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Telephone | 305-824-0280
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Fax | 305-824-0281
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXANDER R LEON
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Credential |
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Telephone | 305-824-0280
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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 | PENDING
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License Number State | FL
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