Provider Demographics
NPI:1538588074
Name:NEW BROWARD COMMUNITY CENTER
Entity type:Organization
Organization Name:NEW BROWARD COMMUNITY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUDEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BONNE
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:786-710-1976
Mailing Address - Street 1:8300 W FLAGLER ST STE 121A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2096
Mailing Address - Country:US
Mailing Address - Phone:786-580-5096
Mailing Address - Fax:786-633-6107
Practice Address - Street 1:8300 W FLAGLER ST STE 121A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2096
Practice Address - Country:US
Practice Address - Phone:786-580-5096
Practice Address - Fax:786-633-6107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-14
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management