Provider Demographics
NPI:1063802122
Name:WEST FLORIDA HEALTH HOME CARE INC
Entity type:Organization
Organization Name:WEST FLORIDA HEALTH HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-314-3693
Mailing Address - Street 1:14055 RIVEREDGE DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33637-2090
Mailing Address - Country:US
Mailing Address - Phone:813-803-4022
Mailing Address - Fax:813-803-4020
Practice Address - Street 1:14055 RIVEREDGE DR
Practice Address - Street 2:SUITE 250
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33637-2090
Practice Address - Country:US
Practice Address - Phone:813-803-4022
Practice Address - Fax:813-803-4020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health