Healthcare Provider Details
I. General information
NPI: 1144844986
Provider Name (Legal Business Name): BROWARD ELDERCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/07/2020
Last Update Date: 04/05/2022
Certification Date: 04/05/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 E SAMPLE RD STE 101
DEERFIELD BEACH FL
33064-4443
US
IV. Provider business mailing address
601 E SAMPLE RD STE 101
DEERFIELD BEACH FL
33064-4443
US
V. Phone/Fax
- Phone: 954-942-9233
- Fax: 954-942-9234
- Phone: 954-942-9233
- Fax: 954-942-9234
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NARENDRA
K
MAHESHWARI
Title or Position: PRESIDENT
Credential: MD
Phone: 954-234-6669