Provider Demographics
NPI:1093499048
Name:GREATER FLORIDA ADULT CARE
Entity Type:Organization
Organization Name:GREATER FLORIDA ADULT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CISO
Authorized Official - Prefix:MR
Authorized Official - First Name:DEXTER
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMKISSOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-217-2902
Mailing Address - Street 1:4215 SUN N LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872-2158
Mailing Address - Country:US
Mailing Address - Phone:813-217-2902
Mailing Address - Fax:
Practice Address - Street 1:4215 SUN N LAKE BLVD
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-2158
Practice Address - Country:US
Practice Address - Phone:813-217-2902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health