Provider Demographics
NPI:1093429334
Name:ABSOLUTE HEALTH PROFESSIONALS INC
Entity Type:Organization
Organization Name:ABSOLUTE HEALTH PROFESSIONALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-767-5556
Mailing Address - Street 1:204 N ELM AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-1272
Mailing Address - Country:US
Mailing Address - Phone:407-878-0048
Mailing Address - Fax:
Practice Address - Street 1:204 N ELM AVE STE 102
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-1272
Practice Address - Country:US
Practice Address - Phone:407-878-0048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABSOLUTE HEALTH PROFESSIONALS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105053600Medicaid