Organization
FLORIDA CARE SERVICES, LLC
Active
Parent organization
FLORIDA CARE SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA CARE SERVICES, LLC
Authorized official
LISHA C FALK (VP OF CONTRACTING)
(337) 609-1221
Entity
Organization
Contact information
Practice address
1120 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884-1919
(863) 293-1300
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/12/2021
Last updated
03/23/2022
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