Healthcare Provider Details

I. General information

NPI: 1780207910
Provider Name (Legal Business Name): HOMEVILLE MEDICAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2020
Last Update Date: 06/08/2022
Certification Date: 06/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1861 NW 109TH AVE
PLANTATION FL
33322-3417
US

IV. Provider business mailing address

151 N NOB HILL RD # 310
PLANTATION FL
33324-1708
US

V. Phone/Fax

Practice location:
  • Phone: 786-553-6807
  • Fax: 877-935-4207
Mailing address:
  • Phone: 786-553-6807
  • Fax: 877-935-4207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SABRINA MARIE CURRY
Title or Position: PRESIDENT
Credential: APRN-BC
Phone: 786-553-6807