Provider Demographics
NPI:1144477555
Name:FLORIDA CARE PROVIDERS, LLC
Entity type:Organization
Organization Name:FLORIDA CARE PROVIDERS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:TAMA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-655-6440
Mailing Address - Street 1:2101 VISTA PARKWAY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411
Mailing Address - Country:US
Mailing Address - Phone:561-655-6440
Mailing Address - Fax:561-655-6442
Practice Address - Street 1:2101 VISTA PARKWAY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411
Practice Address - Country:US
Practice Address - Phone:561-655-6440
Practice Address - Fax:561-655-6442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health