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NPI 1790743094

NPI 1790743094 : AMEDISYS SOUTH FLORIDA, L.L.C. : CORAL SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1790743094
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMEDISYS SOUTH FLORIDA, L.L.C. 
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Dates
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    Enumeration Date     |    05/03/2006
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    Last Update Date     |    04/26/2010
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Provider Practice Location Address
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    Address Line         |    1725 N UNIVERSITY DR SUITE 450
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    City                 |    CORAL SPRINGS
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    State                |    FL
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    Zip                  |    33071-6089
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    Country              |    US
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    Telephone            |    954-340-4446
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    Fax                  |    954-340-4430
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Provider Business Mailing Address
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    Address Line         |    5959 SOUTH SHERWOOD FOREST BOULEVARD 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70816-6080
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    Country              |    US
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    Telephone            |    225-292-2031
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    Fax                  |    225-295-9678
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     WILLIAM  BORNE 
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    Credential           |    
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    Telephone            |    225-292-2031
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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       |    20983096
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    License Number State |    FL
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