Healthcare Provider Details

I. General information

NPI: 1336922277
Provider Name (Legal Business Name): FOR A BETTER DAY FOUNDATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 W ATLANTIC BLVD
POMPANO BEACH FL
33069-2913
US

IV. Provider business mailing address

3982 CORAL TREE CIR
COCONUT CREEK FL
33073-4445
US

V. Phone/Fax

Practice location:
  • Phone: 954-297-9802
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LESLIE BRAVO
Title or Position: PRESIDENT
Credential:
Phone: 954-297-9802