Broward Lifecare, Llc

NPI 1003104738 - Home Health - 251E00000X

NPI Details
NPI 1003104738
Enumeration Date 07/15/2011
Last Updated 07/20/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ANGELO ANGELO
Position PRESIDENT/OWNER
Phone (774) 223-3459
Fax (774) 223-3465
Practice Location
777 SE 20TH ST STE 255
FORT LAUDERDALE FL, 33316-3591, US
Phone (774) 223-3459
Fax (774) 223-3465
Business Location
4820 SW 161ST LN
MIRAMAR FL, 33027-4935, US
Phone (774) 223-3459
Fax (774) 223-3465
Toxanomy
Taxonomy Code 251E00000X
License State Florida
License Number 232250
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According to our database, Broward Lifecare, Llc NPI is 1003104738, taxonomy code is 251E00000X and license number is 232250, license state is located at Florida. Broward Lifecare, Llc physically located at 777 Se 20th St Ste 255, Fort Lauderdale FL, 33316-3591. NPI Number 1033115704 has the healthcare provider type.

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1003104738 NPI number is provided on an as is basis without warranty of any kind. 1003104738 is maintained by the National Plan & Provider Enumeration System. The contents of Broward Lifecare, Llc are for informational purposes only.