Provider Demographics
NPI:1982947263
Name:VISITING NURSE SERVICES OF CENTRAL FLORIDA LLC
Entity Type:Organization
Organization Name:VISITING NURSE SERVICES OF CENTRAL FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHAKERAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-315-0958
Mailing Address - Street 1:1326 W NORTH BOULEVARD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748
Mailing Address - Country:US
Mailing Address - Phone:352-315-0958
Mailing Address - Fax:855-817-9358
Practice Address - Street 1:1326 W NORTH BLVD STE 12
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-3997
Practice Address - Country:US
Practice Address - Phone:352-315-0958
Practice Address - Fax:855-817-9358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health