MEDICARE: DEERFIELD FLORIDA HOUSE, 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	251S00000X	Community/Behavioral Health Agency
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
4	320800000X	Mental Illness Community Based Residential Treatment Facility
5	323P00000X	Psychiatric Residential Treatment Facility
6	324500000X	Substance Abuse Rehabilitation Facility	1706AD022401	FL

General Provider Information

NPI Number	:	1649500182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEERFIELD FLORIDA HOUSE, INC

Provider Business Mailing Address
First Line	:	530 S FEDERAL HWY # 5
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-4140
Country	:	US
Telephone Number	:	954-363-0088
Fax Number	:	412-451-8656

Provider Business Practice Location Address
First Line	:	504 S FEDERAL HWY
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-4112
Country	:	US
Telephone Number	:	954-363-0088
Fax Number	:	412-451-8656

Authorized Official
Title or Position	:	CRCO-RCM DIRECTOR
Name	:	GEMINISA M SOLORZANO
Credential	:
Telephone Number	:	954-667-5465

Provider Enumeration Date	:	01/06/2010
Last Update Date	:	10/23/2024

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Directions to “DEERFIELD FLORIDA HOUSE, INC ” Practice Location

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