Healthcare Provider Details

I. General information

NPI: 1548754021
Provider Name (Legal Business Name): ROSSANA MENDEZ COLE MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2018
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW 87TH AVE
PEMBROKE PINES FL
33025-3301
US

IV. Provider business mailing address

1600 SW 87TH AVE
PEMBROKE PINES FL
33025-3301
US

V. Phone/Fax

Practice location:
  • Phone: 754-777-1608
  • Fax:
Mailing address:
  • Phone: 954-793-1981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW17867
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW03957
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: