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NPI Code Detail

MEDICARE: ROSEBUD ANDREWS

MEDICARE:   ROSEBUD  ANDREWS
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
1374U00000XHome Health AideFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1852965500OTHERFLPRIVATE DUTY HOME HEALTH

General Provider Information

NPI Number : 1861121600
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEBUD ANDREWS
Provider Business Mailing Address
First Line : 3054 BUCKEYE POINTE DR
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-5916
Country : US
Telephone Number : 863-224-3611
Fax Number :
Provider Business Practice Location Address
First Line : 3054 BUCKEYE POINTE DR
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-5916
Country : US
Telephone Number : 863-224-3611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2022
Last Update Date : 06/14/2022

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Directions to “ ROSEBUD ANDREWS ” Practice Location

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