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General NPI Number Information
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NPI Number | 1497150429
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Entity Type | Organization
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Legal Business Name | FLORIDA FIRST CARE, INC.
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 8 N EUSTIS ST
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City | EUSTIS
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State | FL
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Zip | 32726-3408
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Country | US
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Telephone | 352-735-2008
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Fax | 352-735-2035
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Provider Business Mailing Address
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Address Line | 8 N EUSTIS ST
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City | EUSTIS
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State | FL
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Zip | 32726-3408
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Country | US
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Telephone | 352-735-2008
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Fax | 352-735-2035
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHARLES WILLIAM ENGELBRECHT
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Credential |
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Telephone | 352-735-2008
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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 |
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License Number State |
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