Provider Demographics
NPI:1851545156
Name:HEALTHY FAMILIES BROWARD
Entity Type:Organization
Organization Name:HEALTHY FAMILIES BROWARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY SUPPORT WORKER SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GUERLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SERAPHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-318-8915
Mailing Address - Street 1:915 MIDDLE RIVER DR STE 120
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-3559
Mailing Address - Country:US
Mailing Address - Phone:786-318-8915
Mailing Address - Fax:
Practice Address - Street 1:915 MIDDLE RIVER DR STE 120
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-3559
Practice Address - Country:US
Practice Address - Phone:786-318-8915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLS615280765550305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization