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General NPI Number Information
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NPI Number | 1619767506
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Entity Type | Organization
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Legal Business Name | HEALTH CARE OF SOUTH FLORIDA CORP
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 6001 BROKEN SOUND PARKWAY SUITE 424A
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City | BOCA RATON
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State | FL
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Zip | 33487
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Country | US
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Telephone | 561-621-9700
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Fax | 561-401-0023
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Provider Business Mailing Address
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Address Line | 16800 NW 2 AVE. SUITE 306A
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City | MIAMI
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State | FL
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Zip | 33169
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Country | US
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Telephone | 305-871-3601
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Fax | 305-871-3605
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Authorized Official
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Title or Position | PRESIDENT
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Name | OLEG LUSHER
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Credential |
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Telephone | 305-871-3601
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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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