Healthcare Provider Details

I. General information

NPI: 1104623255
Provider Name (Legal Business Name): BROWARD ELITE CARE GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7971 RIVIERA BLVD STE 307
MIRAMAR FL
33023-6447
US

IV. Provider business mailing address

7971 RIVIERA BLVD STE 307
MIRAMAR FL
33023-6447
US

V. Phone/Fax

Practice location:
  • Phone: 786-718-5342
  • Fax: 305-675-6469
Mailing address:
  • Phone: 786-718-5342
  • Fax: 305-675-6469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: LISET BORGES
Title or Position: PRESIDENT
Credential:
Phone: 786-718-5342