Provider Demographics
NPI:1225525413
Name:ENGAGE HEALTH CARE LLC
Entity Type:Organization
Organization Name:ENGAGE HEALTH CARE LLC
Other - Org Name:DAMIAN EKER GERIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:EKER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:954-650-7666
Mailing Address - Street 1:12625 NW 76TH ST
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4227
Mailing Address - Country:US
Mailing Address - Phone:954-650-7666
Mailing Address - Fax:954-901-2784
Practice Address - Street 1:1880 E COMMERCIAL BLVD STE 3
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3747
Practice Address - Country:US
Practice Address - Phone:954-938-8998
Practice Address - Fax:954-901-2784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9190058261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care