MEDICARE: START PROFESSIONAL CARE & SUPPORT LLC

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	3747A0650X	Attendant Care Provider
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1669351656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	START PROFESSIONAL CARE & SUPPORT LLC

Provider Business Mailing Address
First Line	:	11117 W OKEECHOBEE RD STE 130
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-4210
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8359 BEACON BLVD STE 408
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3062
Country	:	US
Telephone Number	:	305-396-8973
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MADLIN MARICHAL
Credential	:
Telephone Number	:	786-442-6465

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	09/05/2025

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Directions to “START PROFESSIONAL CARE & SUPPORT LLC ” Practice Location

Language	Start Address	Practice Location

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