Organization
AUTUMN HOME CARE OF SOUTH WESTERN FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK AMBROSE CPA (OWNER)
(727) 398-4467
Entity
Organization
Contact information
Practice address
4456 TAMIAMI TRL, SUITE A4, PUNTA GORDA, FL 33980-2101
(941) 979-5184
(941) 979-5237
Mailing address
10773 70TH AVE, SEMINOLE, FL 33772-6302
(727) 398-4467
(727) 399-9788
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299993223
FL
Other
Enumeration date
07/31/2008
Last updated
05/19/2011
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