Healthcare Provider Details
I. General information
NPI: 1629483862
Provider Name (Legal Business Name): HEALTH CARE TRANSITIONS COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2014
Last Update Date: 06/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4050 SHERIDAN ST SUITE D
HOLLYWOOD FL
33021-3561
US
IV. Provider business mailing address
1117 E HALLANDALE BEACH BLVD
HALLANDALE BEACH FL
33009-4488
US
V. Phone/Fax
- Phone: 954-454-5131
- Fax: 954-241-6908
- Phone: 954-454-5131
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JASON
ADLER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 954-454-5131