MEDICARE: FOSCOLO ENTERPRISES 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	228674	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	:	1609099704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOSCOLO ENTERPRISES INC

Provider Business Mailing Address
First Line	:	1017 E SOUTH ST
Second Line	:	SUITE A
City	:	ORLANDO
State	:	FL
Zip	:	32801-3011
Country	:	US
Telephone Number	:	407-445-8885
Fax Number	:	407-445-8841

Provider Business Practice Location Address
First Line	:	1017 E SOUTH ST
Second Line	:	SUITE A
City	:	ORLANDO
State	:	FL
Zip	:	32801-3011
Country	:	US
Telephone Number	:	407-445-8885
Fax Number	:	407-445-8841

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES V FOSCOLO
Credential	:	LNHA
Telephone Number	:	407-445-8885

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	08/22/2020

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Directions to “FOSCOLO ENTERPRISES INC ” Practice Location

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