MEDICARE: EAP COMMUNITY SERVICES 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1861928608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAP COMMUNITY SERVICES INC

Provider Business Mailing Address
First Line	:	11820 MIRAMAR PKWY STE 214
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-5818
Country	:	US
Telephone Number	:	305-305-7759
Fax Number	:

Provider Business Practice Location Address
First Line	:	11820 MIRAMAR PKWY STE 214
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-5818
Country	:	US
Telephone Number	:	305-305-7759
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANAY MARTIN
Credential	:	B.A.
Telephone Number	:	305-305-7759

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	05/11/2017

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Directions to “EAP COMMUNITY SERVICES INC ” Practice Location

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