Healthcare Provider Details

I. General information

NPI: 1205752938
Provider Name (Legal Business Name): I CATER 4 U
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4568 NW 17TH WAY
FORT LAUDERDALE FL
33309-3705
US

IV. Provider business mailing address

4568 NW 17TH WAY
FORT LAUDERDALE FL
33309-3705
US

V. Phone/Fax

Practice location:
  • Phone: 954-681-1151
  • Fax:
Mailing address:
  • Phone: 954-681-1151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN DEARING III
Title or Position: FOUNDER
Credential:
Phone: 954-681-1151