MEDICARE: VISITING CARE OF FLORIDA, 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	251E00000X	Home Health Agency
2	251E00000X	Home Health Agency	20011096	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J9U	OTHER	FL	FLORIDA BLUE CROSS

General Provider Information

NPI Number	:	1578656492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISITING CARE OF FLORIDA, INC.

Provider Business Mailing Address
First Line	:	155 SW PORT ST LUCIE BLVD STE 106
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34984-5039
Country	:	US
Telephone Number	:	722-335-1229
Fax Number	:	772-335-0244

Provider Business Practice Location Address
First Line	:	585 NW LAKE WHITNEY PL STE 105
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-1626
Country	:	US
Telephone Number	:	772-335-1229
Fax Number	:	772-335-0244

Authorized Official
Title or Position	:	CFO
Name	:	MR. MARTIN MURPHY
Credential	:
Telephone Number	:	561-433-8800

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	10/31/2024

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