MEDICARE: MAINSL FLORIDA 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	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	2262270	FL

General Provider Information

NPI Number	:	1821213786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAINSL FLORIDA INC.

Provider Business Mailing Address
First Line	:	6100 HOLLYWOOD BLVD STE 211
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-7981
Country	:	US
Telephone Number	:	954-919-0321
Fax Number	:	954-919-0324

Provider Business Practice Location Address
First Line	:	6100 HOLLYWOOD BLVD STE 211
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-7981
Country	:	US
Telephone Number	:	954-919-0321
Fax Number	:	954-919-0324

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DONNA OLSON
Credential	:
Telephone Number	:	763-416-9108

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1972379865 — SANDRA LISBETH MOLINA GIRALDO MS, MT5225
Practice Location Address:

6100 HOLLYWOOD BLVD STE 201
PEMBROKE PINES, FL
33024-7981

Practice Phone: 954-856-3008
Practice Fax:

1770100729 — MS. ALIANA DIAZ-GARCIA CBHCM
Practice Location Address:

7981 NW 13TH ST
PEMBROKE PINES, FL
33024-5157

Practice Phone: 786-799-2805
Practice Fax:

1992584312 — AMANICK BOOTHE LCSW
Practice Location Address:

7777 DAVIE ROAD EXT STE 302B
HOLLYWOOD, FL
33024-2503

Practice Phone: 954-852-1997
Practice Fax: 954-852-1998

1316792922 — JESSICA FERNANDA CUERO
Practice Location Address:

7261 SHERIDAN ST STE 100B
HOLLYWOOD, FL
33024-2708

Practice Phone: 954-561-6222
Practice Fax: 954-990-7650

1134053606 — HEAVENSSERENITY CORP
Practice Location Address:

7321 NW 35TH ST APT 4
HOLLYWOOD, FL
33024-1654

Practice Phone: 352-677-6289
Practice Fax:

1174454458 — ANIREC LIZSETH ALBARRAN LINARES
Practice Location Address:

6781 SHERIDAN ST
HOLLYWOOD, FL
33024-3940

Practice Phone: 954-260-1792
Practice Fax:

Directions to “MAINSL FLORIDA INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.