Provider Demographics
NPI:1598729188
Name:FLORIDA HOME HEALTH EQUIPMENT AND SUPPLIES INC
Entity Type:Organization
Organization Name:FLORIDA HOME HEALTH EQUIPMENT AND SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FARO
Authorized Official - Middle Name:
Authorized Official - Last Name:RANDAZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-843-2777
Mailing Address - Street 1:4700 L B MCLEOD RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-6422
Mailing Address - Country:US
Mailing Address - Phone:407-843-2777
Mailing Address - Fax:407-843-5545
Practice Address - Street 1:4700 L B MCLEOD RD
Practice Address - Street 2:SUITE 5
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-6422
Practice Address - Country:US
Practice Address - Phone:407-843-2777
Practice Address - Fax:407-843-5545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-12
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL535332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL951471600Medicaid
FL951471600Medicaid