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General NPI Number Information
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NPI Number | 1447258769
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Entity Type | Organization
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Legal Business Name | HOME HEALTH SERVICES OF SOUTH FLORIDA, INC
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 4101 NW 4TH ST STE 200
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City | PLANTATION
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State | FL
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Zip | 33317-2839
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Country | US
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Telephone | 954-735-7332
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Fax | 954-731-0110
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Provider Business Mailing Address
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Address Line | 4101 NW 4TH ST STE 200
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City | PLANTATION
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State | FL
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Zip | 33317-2839
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Country | US
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Telephone | 954-735-7332
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Fax | 954-731-0110
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Authorized Official
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Title or Position | ADMINISTRATOR/PRES
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Name | MR. WILFRED BRACERAS
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Credential |
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Telephone | 954-735-7332
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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 | HHA21223096
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License Number State | FL
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