MEDICARE: HEALTH SILVER YEARS

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	:	1457585408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH SILVER YEARS

Provider Business Mailing Address
First Line	:	5080 BISCAYNE BLVD
Second Line	:	SUITE B
City	:	MIAMI
State	:	FL
Zip	:	33137-3218
Country	:	US
Telephone Number	:	305-467-5400
Fax Number	:	305-960-7304

Provider Business Practice Location Address
First Line	:	5080 BISCAYNE BLVD
Second Line	:	SUITE B
City	:	MIAMI
State	:	FL
Zip	:	33137-3218
Country	:	US
Telephone Number	:	305-467-5400
Fax Number	:	305-960-7304

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. NEIL GONZALEZ III
Credential	:
Telephone Number	:	305-467-5400

Provider Enumeration Date	:	05/06/2009
Last Update Date	:	05/06/2009

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Directions to “HEALTH SILVER YEARS ” Practice Location

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