MEDICARE: 6 D O F CONSULTANTS

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	327240198	FL
2	251E00000X	Home Health Agency	327240198	FL
3	251S00000X	Community/Behavioral Health Agency	327240198	FL
4	253Z00000X	In Home Supportive Care Agency	327240198	FL
5	251J00000X	Nursing Care Agency	327240198	FL

General Provider Information

NPI Number	:	1992142228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	6 D O F CONSULTANTS

Provider Business Mailing Address
First Line	:	2581 SW 83RD AVE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-7411
Country	:	US
Telephone Number	:	954-815-7818
Fax Number	:	954-437-3737

Provider Business Practice Location Address
First Line	:	2581 SW 83RD AVE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-7411
Country	:	US
Telephone Number	:	954-815-7818
Fax Number	:	954-437-3737

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ERICA BRYANT
Credential	:
Telephone Number	:	954-815-7818

Provider Enumeration Date	:	05/28/2013
Last Update Date	:	05/28/2013

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