- Enrollment id
- O20090203000556
- Enrollment state
- FL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1669548053
- Multiple npi flag
- Y
- Ccn
- 101545
- Associate id
- 6406863513
- Organization name
- VITAS HEALTHCARE CORPORATION OF FLORIDA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4450 W EAU GALLIE BLVD
- Address line 2
- STE 250
- City
- MELBOURNE
- State
- FL
- Zip code
- 329347215