Healthcare Provider Details

I. General information

NPI: 1437742343
Provider Name (Legal Business Name): A TRUE PROFESSIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2021
Last Update Date: 02/16/2021
Certification Date: 02/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 S STATE ROAD 7 STE 344
MIRAMAR FL
33023-7203
US

IV. Provider business mailing address

3600 S STATE ROAD 7 STE 344
MIRAMAR FL
33023-7203
US

V. Phone/Fax

Practice location:
  • Phone: 954-404-6600
  • Fax: 877-384-2630
Mailing address:
  • Phone: 954-404-6600
  • Fax: 877-384-2630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. RONALD B BOONE JR.
Title or Position: OWNER/MANAGER
Credential: PEST OPERATOR
Phone: 786-510-2799