MEDICARE: COVE COUNSELING GROUP

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	283X00000X	Rehabilitation Hospital	1006AD762001	FL

General Provider Information

NPI Number	:	1750506333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COVE COUNSELING GROUP

Provider Business Mailing Address
First Line	:	5460 N STATE ROAD 7
Second Line	:	SUITE 114
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33319-2952
Country	:	US
Telephone Number	:	954-587-7771
Fax Number	:	954-587-8622

Provider Business Practice Location Address
First Line	:	5460 N STATE ROAD 7
Second Line	:	SUITE 114
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33319-2952
Country	:	US
Telephone Number	:	954-587-7771
Fax Number	:	954-587-8622

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. DAVID HOWARD FLAHERTY
Credential	:	MD
Telephone Number	:	954-587-7771

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	08/22/2020

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