Healthcare Provider Details
I. General information
NPI: 1073511176
Provider Name (Legal Business Name): MEDI-FLO CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/12/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3335 N UNIVERSITY DR SUITE 2
DAVIE FL
33024-2200
US
IV. Provider business mailing address
3335 N UNIVERSITY DR SUITE 2
DAVIE FL
33024-2200
US
V. Phone/Fax
- Phone: 954-704-4440
- Fax: 954-704-4470
- Phone: 954-704-4440
- Fax: 954-704-4470
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 227900000X |
| Taxonomy | Registered Respiratory Therapist |
| License Number | RT3473 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2279H0200X |
| Taxonomy | Home Health Registered Respiratory Therapist |
| License Number | RT3473 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2279P3900X |
| Taxonomy | Neonatal/Pediatric Registered Respiratory Therapist |
| License Number | RT3473 |
| License Number State | FL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | 228386 |
| License Number State | FL |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372500000X |
| Taxonomy | Chore Provider |
| License Number | 228386 |
| License Number State | FL |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | 228386 |
| License Number State | FL |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | 228386 |
| License Number State | FL |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | 228386 |
| License Number State | FL |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | 228386 |
| License Number State | FL |
VIII. Authorized Official
Name: MS.
FLO
WILLIAMS
Title or Position: OWNER
Credential: RRT
Phone: 954-704-4440