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General NPI Number Information
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NPI Number | 1467459818
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Entity Type | Organization
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Legal Business Name | HOSPICE OF THE FLORIDA KEYS INC
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 1319 WILLIAM ST
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City | KEY WEST
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State | FL
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Zip | 33040-4736
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Country | US
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Telephone | 305-294-8812
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Fax | 305-294-9348
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Provider Business Mailing Address
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Address Line | 4200 NW 90TH BLVD
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City | GAINESVILLE
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State | FL
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Zip | 32606-3809
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Country | US
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Telephone | 352-378-2121
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Fax | 352-240-1470
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Authorized Official
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Title or Position | CONTROLLER
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Name | MS. MICHELLE M DESANTIS
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Credential |
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Telephone | 352-271-4642
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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 | HHA21245096
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License Number State | FL
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