MEDICARE: HOLY CROSS SENIOR SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1073089629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLY CROSS SENIOR SERVICES INC

Provider Business Mailing Address
First Line	:	4875 N FEDERAL HWY FL 10
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4610
Country	:	US
Telephone Number	:	954-229-8501
Fax Number	:	954-351-4730

Provider Business Practice Location Address
First Line	:	4725 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4603
Country	:	US
Telephone Number	:	954-771-8000
Fax Number	:	954-492-5741

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	PIERRE MONICE
Credential	:
Telephone Number	:	708-216-9297

Provider Enumeration Date	:	10/22/2018
Last Update Date	:	03/09/2026

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