Healthcare Provider Details
I. General information
NPI: 1558087437
Provider Name (Legal Business Name): CURECLINIX,LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/13/2022
Last Update Date: 12/28/2022
Certification Date: 12/28/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4420 NE 20TH AVE STE J
OAKLAND PARK FL
33308-5190
US
IV. Provider business mailing address
10191 NW 32ND ST
SUNRISE FL
33351-6947
US
V. Phone/Fax
- Phone: 954-419-6133
- Fax:
- Phone: 954-419-6133
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LOREEN
RUIZ
Title or Position: PRESIDENT
Credential: APRN
Phone: 954-419-6133