Provider Demographics
NPI:1578899936
Name:FLORIDA CHOICE HOME CARE, LLC
Entity Type:Organization
Organization Name:FLORIDA CHOICE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:GAUDET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-688-4177
Mailing Address - Street 1:117 W ALEXANDER ST
Mailing Address - Street 2:# 346
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-7155
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:117 W ALEXANDER ST
Practice Address - Street 2:# 346
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-7155
Practice Address - Country:US
Practice Address - Phone:727-688-4177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health