Provider Demographics
NPI:1376000919
Name:FLORIDA HOMECARE SPECIALISTS MINORITY CORP
Entity Type:Organization
Organization Name:FLORIDA HOMECARE SPECIALISTS MINORITY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ELMER
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCENAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-857-6410
Mailing Address - Street 1:9009 4TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-3127
Mailing Address - Country:US
Mailing Address - Phone:352-857-6410
Mailing Address - Fax:
Practice Address - Street 1:5331 PRIMROSE LAKE CIRCLE UNIT 116
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647
Practice Address - Country:US
Practice Address - Phone:352-857-6410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health