MEDICARE: PRECISION HEALTHCARE SERVICES LLC

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	PT10996	FL

General Provider Information

NPI Number	:	1215155205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	518 JOHNS LANDING WAY
Second Line	:
City	:	OAKLAND
State	:	FL
Zip	:	34787-8984
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	518 JOHNS LANDING WAY
Second Line	:
City	:	OAKLAND
State	:	FL
Zip	:	34787-8984
Country	:	US
Telephone Number	:	407-877-3534
Fax Number	:

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	ROY VILLARUEL
Credential	:
Telephone Number	:	407-877-3534

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	08/22/2020

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Directions to “PRECISION HEALTHCARE SERVICES LLC ” Practice Location

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