Provider Demographics
NPI:1578656492
Name:VISITING CARE OF FLORIDA, INC.
Entity Type:Organization
Organization Name:VISITING CARE OF FLORIDA, INC.
Other - Org Name:A VISITING REDI-NURSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-433-8800
Mailing Address - Street 1:155 SW PORT ST LUCIE BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-5039
Mailing Address - Country:US
Mailing Address - Phone:722-335-1229
Mailing Address - Fax:772-335-0244
Practice Address - Street 1:155 SW PORT ST LUCIE BLVD STE 106
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34984-5039
Practice Address - Country:US
Practice Address - Phone:772-335-1229
Practice Address - Fax:772-335-0244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20011096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLJ9UOtherFLORIDA BLUE CROSS
FL107150Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER