Provider Demographics
NPI:1235752148
Name:ENDO CARE SERVICES, LLC
Entity Type:Organization
Organization Name:ENDO CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:LATTIBEAUDIERE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:954-487-9057
Mailing Address - Street 1:6805 W COMMERCIAL BLVD
Mailing Address - Street 2:# 1059
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2116
Mailing Address - Country:US
Mailing Address - Phone:954-487-9057
Mailing Address - Fax:662-200-5996
Practice Address - Street 1:1030 SW 83RD AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068
Practice Address - Country:US
Practice Address - Phone:954-488-3080
Practice Address - Fax:662-200-5996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2022-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health