MEDICARE: AMEDISYS SOUTH FLORIDA, L.L.C.

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		FL

General Provider Information

NPI Number	:	1891966594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMEDISYS SOUTH FLORIDA, L.L.C.

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-398-3548
Fax Number	:	225-295-9678

Provider Business Practice Location Address
First Line	:	8000 RON BEATTY BLVD
Second Line	:	SUITE A-4
City	:	BAREFOOT BAY
State	:	FL
Zip	:	32976-7474
Country	:	US
Telephone Number	:	772-663-9481
Fax Number	:	772-663-9676

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LARRY R. GRAHAM
Credential	:
Telephone Number	:	225-292-2031

Provider Enumeration Date	:	03/20/2008
Last Update Date	:	03/20/2008

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