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General NPI Number Information
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NPI Number | 1730562612
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Entity Type | Organization
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Legal Business Name | SOUTHERN FLORIDA HOMECARE, INC
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 12/21/2018
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Provider Practice Location Address
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Address Line | 801 NORTHPOINT PKWY STE 43
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-1994
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Country | US
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Telephone | 561-275-1735
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Fax | 561-899-6828
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Provider Business Mailing Address
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Address Line | 801 NORTHPOINT PKWY SUITE #30
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-1973
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Country | US
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Telephone | 561-275-1735
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Fax | 561-899-6828
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ISLAND VALCEUS
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Credential |
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Telephone | 561-275-1735
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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 | 30211796
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 233794
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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