Healthcare Provider Details

I. General information

NPI: 1437000171
Provider Name (Legal Business Name): FUSION CARE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 LAKE WORTH RD STE 206 206
GREENACRES FL
33467-2905
US

IV. Provider business mailing address

6801 LAKE WORTH RD STE 206
GREENACRES FL
33467-2905
US

V. Phone/Fax

Practice location:
  • Phone: 772-309-3978
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: DEJANAE S MIKE
Title or Position: DEVELOPMENT COORDINATOR/ O.M.
Credential:
Phone: 772-309-3978