Provider Demographics
NPI:1619767506
Name:HEALTH CARE OF SOUTH FLORIDA CORP
Entity type:Organization
Organization Name:HEALTH CARE OF SOUTH FLORIDA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLEG
Authorized Official - Middle Name:
Authorized Official - Last Name:LUSHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-871-3601
Mailing Address - Street 1:16800 NW 2 AVE.
Mailing Address - Street 2:SUITE 306A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169
Mailing Address - Country:US
Mailing Address - Phone:305-871-3601
Mailing Address - Fax:305-871-3605
Practice Address - Street 1:6001 BROKEN SOUND PARKWAY
Practice Address - Street 2:SUITE 424A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487
Practice Address - Country:US
Practice Address - Phone:561-621-9700
Practice Address - Fax:561-401-0023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health