Provider Demographics
NPI:1669561148
Name:INTERIM HEALTHCARE OF SOUTH FLORIDA, INC.
Entity type:Organization
Organization Name:INTERIM HEALTHCARE OF SOUTH FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FREDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-595-1202
Mailing Address - Street 1:9580 SW 107TH AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2789
Mailing Address - Country:US
Mailing Address - Phone:305-595-1202
Mailing Address - Fax:305-595-3661
Practice Address - Street 1:9580 SW 107TH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2789
Practice Address - Country:US
Practice Address - Phone:305-595-1202
Practice Address - Fax:305-595-3661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health