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NPI Code Detail

MEDICARE: HEALTHY FAMILIES BROWARD

MEDICARE: HEALTHY FAMILIES BROWARD
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
1253Z00000XIn Home Supportive Care AgencyG362543639420FL

General Provider Information

NPI Number : 1306091913
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY FAMILIES BROWARD
Provider Business Mailing Address
First Line : 915 MIDDLE RIVER DRIVE SUITE # 120
Second Line :
City : FT. LAUDERDALE
State : FL
Zip : 33304
Country : US
Telephone Number : 754-246-0422
Fax Number : 954-563-6063
Provider Business Practice Location Address
First Line : 915 MIDDLE RIVER DR STE 120
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33304-3559
Country : US
Telephone Number : 754-246-0422
Fax Number : 954-563-6063
Authorized Official
Title or Position : FAMILY SUPPORT WORKER SUPERVISOR
Name : MRS. MARTA CECILIA GUTIERREZ
Credential :
Telephone Number : 754-246-0422
Provider Enumeration Date : 11/24/2008
Last Update Date : 11/24/2008

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Directions to “HEALTHY FAMILIES BROWARD ” Practice Location

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