Healthcare Provider Details

I. General information

NPI: 1073478244
Provider Name (Legal Business Name): HEART OF HOPE PSYCH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 SW 35TH AVE
FORT LAUDERDALE FL
33312-3627
US

IV. Provider business mailing address

2111 SW 35TH AVE
FORT LAUDERDALE FL
33312-3627
US

V. Phone/Fax

Practice location:
  • Phone: 954-257-2601
  • Fax:
Mailing address:
  • Phone: 954-257-2601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: FREDRICKA MARSH
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 954-257-2601