Provider Demographics
NPI:1215251855
Name:CLINICARE OF BROWARD LLC
Entity type:Organization
Organization Name:CLINICARE OF BROWARD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:TERESI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-353-1225
Mailing Address - Street 1:9960 CENTRAL PARK BLVD NORTH
Mailing Address - Street 2:SUITE 450
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428
Mailing Address - Country:US
Mailing Address - Phone:561-353-1225
Mailing Address - Fax:561-353-9958
Practice Address - Street 1:9960 CENTRAL PARK BLVD NORTH
Practice Address - Street 2:SUITE 450
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428
Practice Address - Country:US
Practice Address - Phone:561-353-1225
Practice Address - Fax:561-353-9958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center