MEDICARE: FLORIDA HOMECARE SPECIALISTS MINORITY 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1194282731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA HOMECARE SPECIALISTS MINORITY CORP

Provider Business Mailing Address
First Line	:	13550 VILLAGE PARK DR STE 210
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-7833
Country	:	US
Telephone Number	:	352-857-6410
Fax Number	:	407-378-7222

Provider Business Practice Location Address
First Line	:	13550 VILLAGE PARK DR STE 210
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-7833
Country	:	US
Telephone Number	:	352-857-6410
Fax Number	:	407-378-7222

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ELMER ARCENAL
Credential	:
Telephone Number	:	352-857-6410

Provider Enumeration Date	:	03/01/2019
Last Update Date	:	12/29/2022

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