FLA MEDICAL PAIN RELIEF & DETOX CENTER LLC (NPI# 1699018127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699018127 |
| Entity Type | Organization |
| Organization Name | FLA MEDICAL PAIN RELIEF & DETOX CENTER LLC |
| Other Organization Name | FLORIDA MEDICAL HEALTH CARE |
| Practice Address |
6740 Taft St Hollywood FL 33024-3903 |
| Practice Telephone | 9549667911 |
| Practice Fax Number | 9549663352 |
| Mailing Telephone | 9549667911 |
| Mailing Fax Number | 9549663352 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-11 |
| Authorized Official Name | JANIS MIKUS (DIRECTOR) |
| Authorized Official Telephone | 9549667911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Florida Medical Health Care | Doing Business As Name - Organization |
| Street Address |
6740 TAFT ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33024-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232522 | Buen Pastor Medical Center, Inc. | General Practice | 4400 Sheridan St Ste C, Hollywood, FL 33021-3514 | 2020-07-22 |
| 1639734148 | Management Care LLC | General Practice | 7900 Nw 33rd St Ste 103, Hollywood, FL 33024-2209 | 2019-05-09 |
| 1730671504 | Rafael Torres | General Practice | 1915 Monroe St Apt 15, Hollywood, FL 33020-7700 | 2018-06-06 |
| 1003311051 | David Lee Arnold | General Practice | 1701 Fletcher St, Hollywood, FL 33020-6538 | 2018-03-29 |
| 1528468956 | Centro Medico Familiar Buen Pastor Pharmacy | General Practice | 4440 Sheridan St Ste C, Hollywood, FL 33021-3535 | 2014-09-04 |
| 1255741088 | Bonne Medical Center, Inc. | General Practice | 5928 Sheridan St Ste A, Hollywood, FL 33021 | 2014-05-01 |
| 1518388503 | Marc Joseph | General Practice | 2629 Funston St, Hollywood, FL 33020-5727 | 2013-12-18 |
| 1972871937 | Carevantage Medical Centers of Broward At Sterling Road,llc | General Practice | 2536 N State Road 7, Hollywood, FL 33021-3205 | 2011-12-06 |
| 1639379761 | Gabriel Gregorio Florez | General Practice | 4440 Sheridan St, Suite C, Hollywood, FL 33021 | 2007-07-18 |
| 1174697288 | William H Hayling | General Practice | 3301 Barham Blvd Ste 400, Hollywood, CA 90068-1477 | 2006-11-20 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.