MEDICARE: FLORIDA HH SERVICES

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	:	1225362833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA HH SERVICES

Provider Business Mailing Address
First Line	:	1845 QUEEN PALM DR
Second Line	:
City	:	EDGEWATER
State	:	FL
Zip	:	32141-3809
Country	:	US
Telephone Number	:	407-625-9043
Fax Number	:	866-470-3118

Provider Business Practice Location Address
First Line	:	1845 QUEEN PALM DR
Second Line	:
City	:	EDGEWATER
State	:	FL
Zip	:	32141-3809
Country	:	US
Telephone Number	:	407-625-9043
Fax Number	:	866-470-3118

Authorized Official
Title or Position	:	CEO
Name	:	EDMUND NORMAND
Credential	:
Telephone Number	:	407-625-9043

Provider Enumeration Date	:	09/29/2009
Last Update Date	:	09/29/2009

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