Organization
ENVISTA HEALTH, LLC
Active
Other names
Envista Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL A HAMILTON (PRESIDENT/CEO)
(813) 252-2224
Entity
Organization
Contact information
Practice address
1133 LOUISIANA AVE, SUITE 112, WINTER PARK, FL 32789-2343
(407) 637-2981
Mailing address
1810 W KENNEDY BLVD, TAMPA, FL 33606-1645
(407) 252-2224
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
30211637
FL
251J00000X
Nursing Care Agency
30211637
FL
253Z00000X
In Home Supportive Care Agency
Primary
30211637
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012169200
—
FL
01
—
30211637
AHCA LICENSE
FL
Enumeration date
10/31/2014
Last updated
10/31/2014
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