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General NPI Number Information
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NPI Number | 1881714822
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA HOME CARE SERVICES INC
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Dates
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Enumeration Date | 03/31/2007
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Last Update Date | 11/30/2010
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Provider Practice Location Address
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Address Line | 14100 PALMETTO FRONTAGE RD SUITE # 109
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1569
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Country | US
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Telephone | 305-557-9625
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Fax | 305-557-9626
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Provider Business Mailing Address
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Address Line | 14100 PALMETTO FRONTAGE RD SUITE # 109
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1569
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Country | US
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Telephone | 305-557-9625
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Fax | 305-557-9626
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EDUARDO LIERMO
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Credential |
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Telephone | 305-557-9625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 816296
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License Number State | FL
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