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General NPI Number Information
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NPI Number | 1770981250
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Entity Type | Organization
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Legal Business Name | HOME HEALTH CARE OF FLORIDA
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 06/03/2019
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Provider Practice Location Address
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Address Line | 1360 NORTH US 1 SUITE 103
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City | ORMOND BEACH
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State | FL
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Zip | 32174
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Country | US
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Telephone | 386-944-9727
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Fax | 386-944-9730
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Provider Business Mailing Address
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Address Line | 1360 NORTH US 1 SUITE 103
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City | ORMOND BEACH
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State | FL
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Zip | 32174
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Country | US
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Telephone | 386-944-9727
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Fax | 386-944-9730
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Authorized Official
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Title or Position | OWNER
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Name | GEOFFREY R FRASER
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Credential |
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Telephone | 321-288-0171
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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 | 299994152
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License Number State | FL
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Taxonomy #2
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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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