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NPI Code Detail

MEDICARE: ACWF

MEDICARE: ACWF
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 Agency686689FL

General Provider Information

NPI Number : 1326218041
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACWF
Provider Business Mailing Address
First Line : 2500 QUANTUM LAKES DR
Second Line : SUITE108
City : BOYNTON BEACH
State : FL
Zip : 33426-8324
Country : US
Telephone Number : 561-244-0220
Fax Number : 561-244-0221
Provider Business Practice Location Address
First Line : 3110 OAKBRIDGE BLVD E
Second Line : SUITE108
City : LAKELAND
State : FL
Zip : 33803-5987
Country : US
Telephone Number : 561-244-0220
Fax Number : 561-244-0221
Authorized Official
Title or Position : CFO
Name : MR. DANIEL CAMMARATA
Credential :
Telephone Number : 561-244-0220
Provider Enumeration Date : 03/10/2008
Last Update Date : 01/18/2010

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Directions to “ACWF ” Practice Location

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