- Enrollment id
- O20240619001191
- Enrollment state
- FL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1972555464
- Multiple npi flag
- N
- Ccn
- 101513
- Associate id
- 6406863513
- Organization name
- VITAS HEALTHCARE CORPORATION OF FLORIDA
- Doing business as name
- ROTO-ROOTER, INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2852 REMINGTON GREEN CIR
- Address line 2
- STE 101
- City
- TALLAHASSEE
- State
- FL
- Zip code
- 323081507