Provider Demographics
NPI: | 1437753985 |
---|---|
Name: | COMPASSIONATE HEALTH AND WELLNESS OF BROWARD LLC |
Entity type: | Organization |
Organization Name: | COMPASSIONATE HEALTH AND WELLNESS OF BROWARD LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATOR |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | FREDO |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | JEAN FRANCOIS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 954-586-4990 |
Mailing Address - Street 1: | 7454 ROYAL PALM BLVD |
Mailing Address - Street 2: | |
Mailing Address - City: | MARGATE |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33063-6881 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 954-586-4990 |
Mailing Address - Fax: | 954-827-3352 |
Practice Address - Street 1: | 7454 ROYAL PALM BLVD |
Practice Address - Street 2: | |
Practice Address - City: | MARGATE |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33063-6881 |
Practice Address - Country: | US |
Practice Address - Phone: | 754-366-7348 |
Practice Address - Fax: | 754-366-7348 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-11-25 |
Last Update Date: | 2024-07-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Single Specialty |