MEDICARE: FLORIDA CARE ALF OF VERO BEACH 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	310400000X	Assisted Living Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265000723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA CARE ALF OF VERO BEACH INC

Provider Business Mailing Address
First Line	:	7432 WILES RD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2066
Country	:	US
Telephone Number	:	954-461-7435
Fax Number	:

Provider Business Practice Location Address
First Line	:	1934 22ND AVE
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-3084
Country	:	US
Telephone Number	:	954-461-7435
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JOSEPH V MONDELLI JR.
Credential	:
Telephone Number	:	954-461-7435

Provider Enumeration Date	:	06/11/2021
Last Update Date	:	06/11/2021

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