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General NPI Number Information
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NPI Number | 1255433074
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Entity Type | Organization
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Legal Business Name | FIRSTLANTIC HEALTHCARE, INC
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3201 W COMMERCIAL BLVD SUITE 220
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3440
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Country | US
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Telephone | 954-382-0300
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Fax | 954-382-0377
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Provider Business Mailing Address
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Address Line | 3201 W COMMERCIAL BLVD SUITE 220
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3440
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Country | US
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Telephone | 954-382-0300
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Fax | 954-382-0377
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Authorized Official
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Title or Position | COO-OWNER
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Name | BART DELSING
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Credential |
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Telephone | 954-382-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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