Provider Demographics
NPI:1346071297
Name:CAREBRIDGE INNOVATIONS
Entity type:Organization
Organization Name:CAREBRIDGE INNOVATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLINT
Authorized Official - Middle Name:TYLER
Authorized Official - Last Name:PASALODOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-828-0862
Mailing Address - Street 1:1515 N UNIVERSITY DR STE 214
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6099
Mailing Address - Country:US
Mailing Address - Phone:954-828-0862
Mailing Address - Fax:954-828-0867
Practice Address - Street 1:1515 N UNIVERSITY DR STE 214
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6099
Practice Address - Country:US
Practice Address - Phone:954-828-0862
Practice Address - Fax:954-828-0867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies