MEDICARE: FLORIDA HOME HEALTH EQUIPMENT AND SUPPLIES 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	332B00000X	Durable Medical Equipment & Medical Supplies	535	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598729188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA HOME HEALTH EQUIPMENT AND SUPPLIES INC

Provider Business Mailing Address
First Line	:	4700 L B MCLEOD RD
Second Line	:	SUITE 5
City	:	ORLANDO
State	:	FL
Zip	:	32811-6422
Country	:	US
Telephone Number	:	407-843-2777
Fax Number	:	407-843-5545

Provider Business Practice Location Address
First Line	:	4700 L B MCLEOD RD
Second Line	:	SUITE 5
City	:	ORLANDO
State	:	FL
Zip	:	32811-6422
Country	:	US
Telephone Number	:	407-843-2777
Fax Number	:	407-843-5545

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. FARO RANDAZZO
Credential	:
Telephone Number	:	407-843-2777

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	05/31/2012

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