MEDICARE: FLACO HOLDINGS 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1821229824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLACO HOLDINGS INC

Provider Business Mailing Address
First Line	:	260 NW 108TH AVE
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-1500
Country	:	US
Telephone Number	:	954-323-2515
Fax Number	:	954-323-2161

Provider Business Practice Location Address
First Line	:	9423 ASTON GARDENS CT
Second Line	:
City	:	PARKLAND
State	:	FL
Zip	:	33076-4101
Country	:	US
Telephone Number	:	954-440-2696
Fax Number	:	954-533-4841

Authorized Official
Title or Position	:	GENERAL PARTNER
Name	:	MRS. MARGARET GIVENTER
Credential	:
Telephone Number	:	954-323-2515

Provider Enumeration Date	:	08/07/2009
Last Update Date	:	09/14/2023

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Directions to “FLACO HOLDINGS INC ” Practice Location

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