Provider Demographics
NPI:1821542135
Name:MARCIA'S HEALTH CARE REGISTRY, INC
Entity Type:Organization
Organization Name:MARCIA'S HEALTH CARE REGISTRY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-816-2170
Mailing Address - Street 1:7481 W OAKLAND PARK BLVD
Mailing Address - Street 2:SUITE 302D
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4985
Mailing Address - Country:US
Mailing Address - Phone:954-816-2170
Mailing Address - Fax:
Practice Address - Street 1:7481 W OAKLAND PARK BLVD
Practice Address - Street 2:SUITE 302D
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33319-4985
Practice Address - Country:US
Practice Address - Phone:954-816-2170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-04
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211857251J00000X
FL30211824251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care