MEDICARE: HEALTHY FAMILIES BROWARD

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	305R00000X	Preferred Provider Organization	S615280765550	FL

General Provider Information

NPI Number	:	1851545156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY FAMILIES BROWARD

Provider Business Mailing Address
First Line	:	915 MIDDLE RIVER DR STE 120
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-3559
Country	:	US
Telephone Number	:	786-318-8915
Fax Number	:

Provider Business Practice Location Address
First Line	:	915 MIDDLE RIVER DR STE 120
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-3559
Country	:	US
Telephone Number	:	786-318-8915
Fax Number	:

Authorized Official
Title or Position	:	FAMILY SUPPORT WORKER SUPERVISOR
Name	:	MS. GUERLINE SERAPHIN
Credential	:
Telephone Number	:	786-318-8915

Provider Enumeration Date	:	11/13/2008
Last Update Date	:	11/13/2008

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Directions to “HEALTHY FAMILIES BROWARD ” Practice Location

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