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General NPI Number Information
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NPI Number | 1497140669
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Entity Type | Organization
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Legal Business Name | SUMMERWOOD HOME HEALTH SERVICES OF DISTRICT 6, LLC
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Dates
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Enumeration Date | 04/03/2015
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 1120 CYPRESS GARDENS BLVD
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City | WINTER HAVEN
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State | FL
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Zip | 33884-1919
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Country | US
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Telephone | 863-683-5010
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Fax | 863-683-5020
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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 | 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 | 299991837
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License Number State | FL
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