Organization
FLORIDA FIRST CARE D-4, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WILLIAM ENGELBRECHT (PRESIDENT)
(904) 537-8359
Entity
Organization
Contact information
Practice address
2233 PARK AVE, SUITE 200, ORANGE PARK, FL 32073-5570
(904) 269-6868
(904) 269-9898
Mailing address
2233 PARK AVE, SUITE 200, ORANGE PARK, FL 32073-5570
(904) 269-6868
(904) 269-9898
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N283858
HEALTH EASE
FL
Enumeration date
08/09/2006
Last updated
08/22/2020
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