Organization
FLORIDA CARE SERVICES, LLC
Active
Other names
Palm Garden of Winter Haven-PAPS
Organization subpart
No
Provider details
NPI number
Authorized official
LISHA FALK (VP OF CONTRACTING)
(337) 609-1221
Entity
Organization
Contact information
Practice address
21251 E DIXIE HWY, AVENTURA, FL 33180-1218
(305) 935-4827
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108162300
—
FL
Enumeration date
07/29/2020
Last updated
03/23/2022
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