Healthcare Provider Details

I. General information

NPI: 1730225749
Provider Name (Legal Business Name): MEDI-FLO CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 01/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2028 NW 141ST AVE
PEMBROKE PINES FL
33028-2853
US

IV. Provider business mailing address

2028 NW 141ST AVE
PEMBROKE PINES FL
33028-2853
US

V. Phone/Fax

Practice location:
  • Phone: 954-704-4440
  • Fax: 954-704-4470
Mailing address:
  • Phone: 954-704-4440
  • Fax: 954-704-4470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. FLO WILLIAMS
Title or Position: PRESIDENT
Credential: RRT
Phone: 954-704-4440