MEDICARE: HOMESTEAD HEALTH CENTER 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1588068340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMESTEAD HEALTH CENTER INC

Provider Business Mailing Address
First Line	:	11285 SW 211TH ST STE 205
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-2211
Country	:	US
Telephone Number	:	305-506-1411
Fax Number	:

Provider Business Practice Location Address
First Line	:	11285 SW 211TH ST STE 205
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-2211
Country	:	US
Telephone Number	:	305-506-1411
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	HOSSEIN FARSAD
Credential	:	M.D
Telephone Number	:	305-506-1411

Provider Enumeration Date	:	10/22/2014
Last Update Date	:	10/22/2014

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Directions to “HOMESTEAD HEALTH CENTER INC ” Practice Location

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