MEDICARE: VITAS HEALTHCARE CORPORATION OF FLORIDA

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	251G00000X	Community Based Hospice Care Agency	50370966	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669548053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITAS HEALTHCARE CORPORATION OF FLORIDA

Provider Business Mailing Address
First Line	:	3046 CORPORATE WAY
Second Line	:	SUITE 1300
City	:	MIRAMAR
State	:	FL
Zip	:	33025-2011
Country	:	US
Telephone Number	:	305-350-6756
Fax Number	:	305-350-6993

Provider Business Practice Location Address
First Line	:	4450 W EAU GALLIE BLVD
Second Line	:	SUITE 250
City	:	MELBOURNE
State	:	FL
Zip	:	32934-7213
Country	:	US
Telephone Number	:	321-751-6671
Fax Number	:	321-751-6998

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	NICHOLAS WESTFALL
Credential	:
Telephone Number	:	513-618-2240

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	03/31/2023

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Directions to “VITAS HEALTHCARE CORPORATION OF FLORIDA ” Practice Location

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