MEDICARE: UNITED CEREBRAL PALSY OF BROWARD COUNTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	235Z00000X	Speech-Language Pathologist
4	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871801928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED CEREBRAL PALSY OF BROWARD COUNTY

Provider Business Mailing Address
First Line	:	2700 W 81ST ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-2732
Country	:	US
Telephone Number	:	305-325-1080
Fax Number	:	305-325-1313

Provider Business Practice Location Address
First Line	:	3117 SW 13TH CT
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-2714
Country	:	US
Telephone Number	:	954-315-4041
Fax Number	:	954-315-4099

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	TAMIKA L LEWIS
Credential	:	PH.D.
Telephone Number	:	786-251-8224

Provider Enumeration Date	:	09/22/2010
Last Update Date	:	02/06/2024

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Directions to “UNITED CEREBRAL PALSY OF BROWARD COUNTY ” Practice Location

Language	Start Address	Practice Location

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