Organization
AMAZ'N HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN WILLIS (OWNER)
(407) 270-4674
Entity
Organization
Contact information
Practice address
927 S GOLDWYN AVE, SUITE 227, ORLANDO, FL 32805-4324
(407) 270-4674
(407) 270-4801
Mailing address
2820 LAKE SUNSET DR, ORLANDO, FL 32805-3059
(407) 270-4674
(407) 270-4801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
692219896
MEDICAID WAIVER
FL
Enumeration date
06/20/2016
Last updated
06/20/2016
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