Healthcare Provider Details

I. General information

NPI: 1609043140
Provider Name (Legal Business Name): PONDER & ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 07/21/2022
Certification Date: 01/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 NW 31ST AVE
POMPANO BEACH FL
33069-2543
US

IV. Provider business mailing address

611 NW 31ST AVE
POMPANO BEACH FL
33069-2543
US

V. Phone/Fax

Practice location:
  • Phone: 954-917-8099
  • Fax: 954-917-8066
Mailing address:
  • Phone: 954-917-8099
  • Fax: 954-917-8066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateFL

VIII. Authorized Official

Name: DARLENE BROWN -PONDER
Title or Position: ADMINISTRATOR
Credential:
Phone: 954-917-8099