MEDICARE: ON FOREVER INC

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1306674007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON FOREVER INC

Provider Business Mailing Address
First Line	:	2700 W CYPRESS CREEK RD STE A107
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1772
Country	:	US
Telephone Number	:	754-220-9533
Fax Number	:	954-707-5057

Provider Business Practice Location Address
First Line	:	2700 W CYPRESS CREEK RD STE A107
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1772
Country	:	US
Telephone Number	:	754-220-9533
Fax Number	:	954-707-5057

Authorized Official
Title or Position	:	OWNER
Name	:	EDUARDO ORDONEZ
Credential	:
Telephone Number	:	786-675-8117

Provider Enumeration Date	:	07/24/2024
Last Update Date	:	02/18/2026

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