Healthcare Provider Details

I. General information

NPI: 1629957527
Provider Name (Legal Business Name): LOTUS FLOWER ADULT DAYCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10501 W BROWARD BLVD APT 310
PLANTATION FL
33324-2144
US

IV. Provider business mailing address

10501 W BROWARD BLVD APT 310
PLANTATION FL
33324-2144
US

V. Phone/Fax

Practice location:
  • Phone: 786-315-0212
  • Fax:
Mailing address:
  • Phone: 786-315-0212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KENDRA J GILBERT
Title or Position: OWNER
Credential:
Phone: 786-315-0212