Provider Demographics
NPI:1073511176
Name:MEDI-FLO CARE, INC
Entity type:Organization
Organization Name:MEDI-FLO CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:FLO
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:954-704-4440
Mailing Address - Street 1:3335 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33024-2200
Mailing Address - Country:US
Mailing Address - Phone:954-704-4440
Mailing Address - Fax:954-704-4470
Practice Address - Street 1:3335 N UNIVERSITY DR
Practice Address - Street 2:SUITE 2
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33024-2200
Practice Address - Country:US
Practice Address - Phone:954-704-4440
Practice Address - Fax:954-704-4470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL228386251C00000X, 372600000X, 374U00000X, 376J00000X, 376K00000X, 372500000X
FLRT34732279H0200X, 227900000X, 2279P3900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty
Not Answered2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome HealthGroup - Single Specialty
Not Answered372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
Not Answered374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Not Answered376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
Not Answered376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
Not Answered372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty
Not Answered227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty
Not Answered2279P3900XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredNeonatal/PediatricsGroup - Single Specialty