Provider Demographics
NPI:1427271121
Name:SOUTH FLORIDA CARE RESOURCES,INC
Entity type:Organization
Organization Name:SOUTH FLORIDA CARE RESOURCES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:ADAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-920-5779
Mailing Address - Street 1:2148 TYLER ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6717
Mailing Address - Country:US
Mailing Address - Phone:954-920-5779
Mailing Address - Fax:954-920-5780
Practice Address - Street 1:2148 TYLER ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6717
Practice Address - Country:US
Practice Address - Phone:954-920-5779
Practice Address - Fax:954-920-5780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0700039374332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies