| NPI | 1033317318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAUNTE TRENISE WEECH Occupational Therapist 786-277-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL OT11897) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL PTA 18652) |
| 302F00000X Exclusive Provider Organization (Licence: FL ot11897) | |
| 302R00000X Health Maintenance Organization (Licence: FL PTA 18652) | |
| 302R00000X Health Maintenance Organization (Licence: FL OT11897) | |
| 305R00000X Preferred Provider Organization (Licence: FL OT11897) | |
| 305S00000X Point of Service (Licence: FL PTA18652) | |
| 305S00000X Point of Service (Licence: FL ot11897) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-08-22 |