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NPI Code Detail

MEDICARE: HEALTH CARE OF SOUTH FLORIDA CORP

MEDICARE: HEALTH CARE OF SOUTH FLORIDA CORP
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
1251E00000XHome Health Agency299993480FL

General Provider Information

NPI Number : 1699079996
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH CARE OF SOUTH FLORIDA CORP
Provider Business Mailing Address
First Line : 2000 NW 150TH AVE STE 2107
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33028-2870
Country : US
Telephone Number : 954-431-1534
Fax Number : 954-431-1128
Provider Business Practice Location Address
First Line : 2000 NW 150TH AVE STE 2107
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33028-2870
Country : US
Telephone Number : 954-431-1534
Fax Number : 954-431-1128
Authorized Official
Title or Position : PRESIDENT
Name : MR. OLEG LUSHER
Credential :
Telephone Number : 305-871-3601
Provider Enumeration Date : 12/29/2010
Last Update Date : 08/03/2022

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Directions to “HEALTH CARE OF SOUTH FLORIDA CORP ” Practice Location

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