Healthcare Provider Details

I. General information

NPI: 1679452114
Provider Name (Legal Business Name): MODERN CARE COLLECTIVE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9730 BOCA GARDENS PKWY APT C
BOCA RATON FL
33496-1725
US

IV. Provider business mailing address

9730 BOCA GARDENS PKWY APT C
BOCA RATON FL
33496-1725
US

V. Phone/Fax

Practice location:
  • Phone: 954-501-8838
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SARA BRENKER
Title or Position: CO-OWNER
Credential:
Phone: 954-501-8838