Organization
FLORIDA ADULT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH ROSENBLOOM REGISTERED NURSE (OWNER)
(321) 673-3460
Entity
Organization
Contact information
Practice address
1504 S HARBOR CITY BLVD, MELBOURNE, FL 32901-4654
(321) 676-3460
(321) 676-3461
Mailing address
1504 S HARBOR CITY BLVD, MELBOURNE, FL 32901-4654
(321) 676-3460
(321) 676-3461
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
9097
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001262100
—
FL
Enumeration date
11/11/2010
Last updated
11/11/2010
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