MEDICARE: THE EUDOXIA 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
1	251E00000X	Home Health Agency	20016096	FL

General Provider Information

NPI Number	:	1962594176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE EUDOXIA CORP.

Provider Business Mailing Address
First Line	:	3939 S CONGRESS AVE
Second Line	:	SUITE 104
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4119
Country	:	US
Telephone Number	:	561-969-1662
Fax Number	:	561-969-2565

Provider Business Practice Location Address
First Line	:	3939 S CONGRESS AVE
Second Line	:	SUITE 104
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4119
Country	:	US
Telephone Number	:	561-969-1662
Fax Number	:	561-969-2565

Authorized Official
Title or Position	:	OWNER
Name	:	PATRICIA A SENGELAUB
Credential	:
Telephone Number	:	561-969-1662

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	08/22/2020

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Directions to “THE EUDOXIA CORP. ” Practice Location

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