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NPI Code Detail

MEDICARE: SPIRIT HOME HEALTH CARE CORP

MEDICARE: SPIRIT HOME HEALTH CARE CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyFL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CCN 10-9356OTHERFLMEDICARE UNSPECIFIED

General Provider Information

NPI Number : 1033370135
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPIRIT HOME HEALTH CARE CORP
Provider Business Mailing Address
First Line : 175 FONTAINEBLEAU BLVD
Second Line : SUITE 2K7
City : MIAMI
State : FL
Zip : 33172-7012
Country : US
Telephone Number : 305-227-2111
Fax Number : 305-227-2118
Provider Business Practice Location Address
First Line : 175 FONTAINEBLEAU BLVD
Second Line : SUITE 2K7
City : MIAMI
State : FL
Zip : 33172-7012
Country : US
Telephone Number : 305-227-2111
Fax Number : 305-227-2118
Authorized Official
Title or Position : OWNER / ADMINISTRATOR
Name : MR. FRANCISCO J BERNAL PEREZ
Credential : RN
Telephone Number : 305-227-2111
Provider Enumeration Date : 06/20/2008
Last Update Date : 01/15/2010

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Directions to “SPIRIT HOME HEALTH CARE CORP ” Practice Location

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