Provider Demographics
NPI:1770198541
Name:DEVOTED CAREGIVERS OF SOUTH FLORIDA,LLC
Entity Type:Organization
Organization Name:DEVOTED CAREGIVERS OF SOUTH FLORIDA,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINAICAL CARE LIASON
Authorized Official - Prefix:
Authorized Official - First Name:MIKERLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-781-7036
Mailing Address - Street 1:10941 WINDING CREEK LN
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-5664
Mailing Address - Country:US
Mailing Address - Phone:954-336-8483
Mailing Address - Fax:
Practice Address - Street 1:433 PLAZA REAL STE 275
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-3999
Practice Address - Country:US
Practice Address - Phone:561-781-7036
Practice Address - Fax:561-781-7037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health