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Organization

AMERICAN NEW VISION, LLC

Active
Other names
Home Health Services of Broward
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TONY OUSTABASSIDIS (OWNER)
(954) 864-3996
Entity
Organization

Contact information

Practice address
6500 W SUNRISE BLVD, PLANTATION, FL 33313-6037
(954) 324-8920
(954) 414-4319
Mailing address
6500 W SUNRISE BLVD, PLANTATION, FL 33313-6037
(954) 324-8920
(954) 414-4319

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
3747A0650X
Attendant Care Provider

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105641900
FL
05
106494500
FL
Enumeration date
08/23/2007
Last updated
11/18/2022
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