Provider Demographics
| NPI: | 1437753985 |
|---|---|
| Name: | COMPASSIONATE HEALTH AND WELLNESS OF BROWARD LLC |
| Entity type: | Organization |
| Organization Name: | COMPASSIONATE HEALTH AND WELLNESS OF BROWARD LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | ADMINISTRATOR |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | FREDO |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | JEAN FRANCOIS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 954-586-4990 |
| Mailing Address - Street 1: | 7454 ROYAL PALM BLVD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MARGATE |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33063-6881 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 954-586-4990 |
| Mailing Address - Fax: | 954-827-3352 |
| Practice Address - Street 1: | 7454 ROYAL PALM BLVD |
| Practice Address - Street 2: | |
| Practice Address - City: | MARGATE |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33063-6881 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 754-366-7348 |
| Practice Address - Fax: | 754-366-7348 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2020-11-25 |
| Last Update Date: | 2024-07-25 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Single Specialty |