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NPI Code Detail

MEDICARE: PERSONAL CARING L.L.C.

MEDICARE: PERSONAL CARING L.L.C.
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1508748955
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERSONAL CARING L.L.C.
Provider Business Mailing Address
First Line : 3233 NE 34TH ST APT 1006
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-6946
Country : US
Telephone Number : 954-383-6389
Fax Number :
Provider Business Practice Location Address
First Line : 3233 NE 34TH ST APT 1006
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-6946
Country : US
Telephone Number : 954-383-6389
Fax Number :
Authorized Official
Title or Position : NURSE PRACTITIONER, SOLE EMPLOYEE
Name : DR. KEVIN PATRICK HANAWAY
Credential : DNP, APRN
Telephone Number : 954-383-6389
Provider Enumeration Date : 07/24/2025
Last Update Date : 07/25/2025

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Directions to “PERSONAL CARING L.L.C. ” Practice Location

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