MEDICARE: INFANZON AND TWINS HOME HEALTH, INC

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
1	251E00000X	Home Health Agency	PENDING NUMBER	FL
2	251E00000X	Home Health Agency	299992796	FL

General Provider Information

NPI Number	:	1093844987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFANZON AND TWINS HOME HEALTH, INC

Provider Business Mailing Address
First Line	:	5782 W FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-3444
Country	:	US
Telephone Number	:	305-266-0622
Fax Number	:	305-266-0623

Provider Business Practice Location Address
First Line	:	5782 W FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-3444
Country	:	US
Telephone Number	:	305-266-0622
Fax Number	:	305-266-0623

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SAILY LOPEZ
Credential	:
Telephone Number	:	305-266-0622

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	10/10/2013

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