MEDICARE: MEHE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1295677359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEHE CARE LLC

Provider Business Mailing Address
First Line	:	2719 HOLLYWOOD BLVD
Second Line	:	PMB L543
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4821
Country	:	US
Telephone Number	:	561-989-4850
Fax Number	:	754-946-2063

Provider Business Practice Location Address
First Line	:	9155 RAMBLEWOOD DR APT 314
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-7036
Country	:	US
Telephone Number	:	561-989-4850
Fax Number	:	754-946-2063

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. TONIA DAVY CLARKE
Credential	:	PMHNP-BC
Telephone Number	:	561-989-4850

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “MEHE CARE LLC ” Practice Location

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