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NPI Code Detail

MEDICARE: VISITING NURSES ASSOCIATION OF SOUTHWEST FL, INC

MEDICARE: VISITING NURSES ASSOCIATION OF SOUTHWEST FL, 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
1251E00000XHome Health AgencyHHA21277096FL

General Provider Information

NPI Number : 1164421236
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISITING NURSES ASSOCIATION OF SOUTHWEST FL, INC
Provider Business Mailing Address
First Line : 3653 CENTRAL AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-8218
Country : US
Telephone Number : 239-337-4848
Fax Number : 239-337-2132
Provider Business Practice Location Address
First Line : 3653 CENTRAL AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-8218
Country : US
Telephone Number : 239-337-4848
Fax Number : 239-337-2132
Authorized Official
Title or Position : CEO/PRESIDENT
Name : MS. ANNA VANN
Credential : RN
Telephone Number : 239-337-4848
Provider Enumeration Date : 07/20/2005
Last Update Date : 04/03/2008

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