Healthcare Provider Details

I. General information

NPI: 1609472406
Provider Name (Legal Business Name): FIRSTDAY HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2020
Last Update Date: 12/08/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5605 NW 82ND AVE
DORAL FL
33166-4000
US

IV. Provider business mailing address

9911 PALMA VISTA WAY
BOCA RATON FL
33428-3530
US

V. Phone/Fax

Practice location:
  • Phone: 305-777-3515
  • Fax:
Mailing address:
  • Phone: 561-306-5469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ROSS SOMMERS
Title or Position: CEO
Credential: MD
Phone: 561-306-5469