Organization
HEALTHCARE SPECIALTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME HOWARD LPN (PRESIDENT)
(813) 654-5200
Entity
Organization
Contact information
Practice address
1757 W BRANDON BLVD, SUITE #111, BRANDON, FL 33511-6849
(813) 654-5200
(813) 654-5686
Mailing address
1757 W BRANDON BLVD, SUITE #111, BRANDON, FL 33511-6849
(813) 654-5200
(813) 654-5686
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
685361796
FL
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
685361796
MEDICAID WAVIER
FL
Enumeration date
11/19/2007
Last updated
11/19/2007
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