Healthcare Provider Details

I. General information

NPI: 1942940846
Provider Name (Legal Business Name): DREAMING AND ACHIEVING MEDICAL DAYCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 03/30/2022
Certification Date: 03/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 STIRLING RD
HOLLYWOOD FL
33024-1844
US

IV. Provider business mailing address

6720 STIRLING RD
HOLLYWOOD FL
33024-1844
US

V. Phone/Fax

Practice location:
  • Phone: 786-355-6189
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM3000X
TaxonomyMedically Fragile Infants and Children Day Care
License Number
License Number State

VIII. Authorized Official

Name: DORIS TRUJILLO
Title or Position: OWNER
Credential:
Phone: 786-355-6189