# SOUTH FLORIDA HOME MEDICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720647779
- **Authorized official:** ODETTE MCBRIDE APRN (OWNER)
- **Authorized official phone:** (786) 636-9985

## Contact information

- **Practice address:** 1031 NE 17TH TER, HOMESTEAD, FL 33033-4691
- **Practice address phone:** (786) 636-9985
- **Practice address fax:** (305) 230-3959
- **Mailing address:** 1031 NE 17TH TER, HOMESTEAD, FL 33033-4691
- **Mailing address phone:** (786) 636-9985
- **Mailing address fax:** (305) 230-3959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/12/2019
- **Last updated:** 07/09/2019