Provider Demographics
NPI:1942487061
Name:CONFIDENT CARE OF FLORIDA CORP
Entity type:Organization
Organization Name:CONFIDENT CARE OF FLORIDA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DMITRIY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEKKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-933-9337
Mailing Address - Street 1:6971 N FEDERAL HWY STE 403
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1617
Mailing Address - Country:US
Mailing Address - Phone:561-886-6533
Mailing Address - Fax:561-886-6535
Practice Address - Street 1:6971 N FEDERAL HWY STE 403
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1617
Practice Address - Country:US
Practice Address - Phone:561-886-6533
Practice Address - Fax:561-886-6535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993019251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299993019OtherAHCA LICENSE