MEDICARE: ADASSA GLOBAL HEALTH 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1447600176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADASSA GLOBAL HEALTH LLC

Provider Business Mailing Address
First Line	:	500 E BROWARD BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33394-3000
Country	:	US
Telephone Number	:	954-919-9649
Fax Number	:	844-232-7721

Provider Business Practice Location Address
First Line	:	500 E BROWARD BLVD
Second Line	:	SUITE 1710
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33394-3000
Country	:	US
Telephone Number	:	954-919-9649
Fax Number	:	844-232-7721

Authorized Official
Title or Position	:	CEO
Name	:	MS. CELESTE LONG
Credential	:
Telephone Number	:	954-919-9649

Provider Enumeration Date	:	06/14/2016
Last Update Date	:	06/14/2016

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