Provider Demographics
NPI:1720547201
Name:MDT HOME HEALTH OF BROWARD
Entity Type:Organization
Organization Name:MDT HOME HEALTH OF BROWARD
Other - Org Name:MDT HOME HEALTH OF BROWARD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MADELEIDYS
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL TORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-716-7777
Mailing Address - Street 1:8672 SW 40TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3265
Mailing Address - Country:US
Mailing Address - Phone:305-644-2100
Mailing Address - Fax:305-644-2910
Practice Address - Street 1:3600 RED RD STE 301N
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-6014
Practice Address - Country:US
Practice Address - Phone:786-581-0549
Practice Address - Fax:866-350-7497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-14
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health