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NPI Code Detail

MEDICARE: SENIOR FOCUS HEALTH SYSTEMS, LLC

MEDICARE: SENIOR FOCUS HEALTH SYSTEMS, 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1285276923
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR FOCUS HEALTH SYSTEMS, LLC
Provider Business Mailing Address
First Line : 1240 MARBELLA PLAZA DR
Second Line :
City : TAMPA
State : FL
Zip : 33619-7906
Country : US
Telephone Number : 813-341-2775
Fax Number :
Provider Business Practice Location Address
First Line : 1240 MARBELLA PLAZA DR
Second Line :
City : TAMPA
State : FL
Zip : 33619-7906
Country : US
Telephone Number : 813-341-2775
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MICHELLE VAUGHAN
Credential :
Telephone Number : 813-341-2731
Provider Enumeration Date : 10/15/2019
Last Update Date : 10/15/2019

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