=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437692662
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALTH CAREERS AND TUTORING INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/20/2016
-----------------------------------------------------
Last Update Date | 12/05/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10580 NW 29TH MNR
-----------------------------------------------------
City | SUNRISE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33322-1024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-593-5440
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10580 NW 29TH MNR SUITE 118G
-----------------------------------------------------
City | SUNRISE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33322-1024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-593-5440
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MS. ARLENE GRANT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 954-593-5440
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QS1000X
-----------------------------------------------------
Taxonomy Name | Student Health Clinic/Center
-----------------------------------------------------
License Number | ARNP2213762
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------