| Providence Health, Llc | |
|
43 S Pompano Pkwy #305 Pompano Beach FL 33069-3001 | |
| (954) 857-7430 | |
| Not Available |
| Full Name | Providence Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 43 S Pompano Pkwy, Pompano Beach, Florida |
| Authorized Official Name and Position | Karen Franceschini (DIRECTOR) |
| Authorized Official Contact | 9548577430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Health, Llc 43 S Pompano Pkwy #305 Pompano Beach FL 33069-3001 Ph: (954) 857-7430 | Providence Health, Llc 43 S Pompano Pkwy #305 Pompano Beach FL 33069-3001 Ph: (954) 857-7430 |
| NPI Number | 1316285620 |
|---|---|
| Provider Enumeration Date | 01/21/2013 |
| Last Update Date | 01/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316285620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | IMT1092 (Florida) | Primary |
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