Provider Demographics
NPI:1780912188
Name:FLORIDA HH SERVICES LLC
Entity type:Organization
Organization Name:FLORIDA HH SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DELBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-397-4101
Mailing Address - Street 1:275 SOUTH US HWY 17-92
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-3718
Mailing Address - Country:US
Mailing Address - Phone:386-668-4420
Mailing Address - Fax:386-668-4450
Practice Address - Street 1:275 SOUTH US HWY 17-92
Practice Address - Street 2:SUITE 102
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-3718
Practice Address - Country:US
Practice Address - Phone:386-668-4420
Practice Address - Fax:386-668-4450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993689251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109655Medicare Oscar/Certification