Healthcare Provider Details

I. General information

NPI: 1184391948
Provider Name (Legal Business Name): VINCEREMOS RIDING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2021
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13300 6TH CT N
LOXAHATCHEE FL
33470-4901
US

IV. Provider business mailing address

13300 6TH CT N
LOXAHATCHEE FL
33470-4901
US

V. Phone/Fax

Practice location:
  • Phone: 561-795-1774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: SUSAN GUINAN
Title or Position: OWNER
Credential:
Phone: 561-792-9900