Theracare, Inc. | |
2808 Ne 22nd St Ft Lauderdale FL 33305-2804 | |
(954) 980-5002 | |
(954) 564-1371 |
Full Name | Theracare, Inc. |
---|---|
Speciality | Social Worker - Clinical |
Location | 2808 Ne 22nd St, Ft Lauderdale, Florida |
Authorized Official Name and Position | Ihab Issa (PRESIDENT) |
Authorized Official Contact | 9546478578 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Theracare, Inc. 2808 Ne 22nd St Ft Lauderdale FL 33305-2804 Ph: () - | Theracare, Inc. 2808 Ne 22nd St Ft Lauderdale FL 33305-2804 Ph: (954) 980-5002 |
NPI Number | 1689011603 |
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Provider Enumeration Date | 05/31/2013 |
Last Update Date | 05/31/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689011603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW8571 (Florida) | Primary |
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