Healthcare Provider Details

I. General information

NPI: 1003491663
Provider Name (Legal Business Name): BRD HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 03/16/2021
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 N FEDERAL HWY STE 210-50
BOCA RATON FL
33431-5187
US

IV. Provider business mailing address

4400 N FEDERAL HWY STE 210-50
BOCA RATON FL
33431-5187
US

V. Phone/Fax

Practice location:
  • Phone: 561-331-3420
  • Fax:
Mailing address:
  • Phone: 561-331-3420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALAN BENZAQUEN
Title or Position: DIRECTOR
Credential:
Phone: 561-331-3420