Provider Demographics
NPI:1699240929
Name:SOUTH FLORIDA CASE MANAGEMENT AND MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:SOUTH FLORIDA CASE MANAGEMENT AND MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-607-0264
Mailing Address - Street 1:11555 HERON BAY BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3362
Mailing Address - Country:US
Mailing Address - Phone:954-607-0264
Mailing Address - Fax:
Practice Address - Street 1:11555 HERON BAY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-3362
Practice Address - Country:US
Practice Address - Phone:954-607-0264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-13
Last Update Date:2018-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management