Healthcare Provider Details

I. General information

NPI: 1871407098
Provider Name (Legal Business Name): MAEO HEALTHCARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7481 W OAKLAND PARK BLVD STE 302E
TAMARAC FL
33319-4961
US

IV. Provider business mailing address

7481 W OAKLAND PARK BLVD STE 302E
TAMARAC FL
33319-4961
US

V. Phone/Fax

Practice location:
  • Phone: 954-496-3225
  • Fax: 954-572-3689
Mailing address:
  • Phone: 954-496-3225
  • Fax: 954-572-3689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARCIA GORDON
Title or Position: ADMINISTRATOR
Credential:
Phone: 954-496-3225