Healthcare Provider Details

I. General information

NPI: 1407270770
Provider Name (Legal Business Name): GUIDANCE CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 41ST STREET OCEAN
MARATHON FL
33050-2373
US

IV. Provider business mailing address

3000 41ST STREET OCEAN
MARATHON FL
33050-2373
US

V. Phone/Fax

Practice location:
  • Phone: 305-434-7660
  • Fax: 305-434-9041
Mailing address:
  • Phone: 305-434-7660
  • Fax: 305-434-9041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: CINDEE BOWEN
Title or Position: RN
Credential:
Phone: 305-434-7660