Provider Demographics
NPI:1952815946
Name:COLLABORATIVE HEALTH CARE LLC
Entity Type:Organization
Organization Name:COLLABORATIVE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATIONAL RCM
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-533-7705
Mailing Address - Street 1:950 N FEDERAL HWY STE 216
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-4328
Mailing Address - Country:US
Mailing Address - Phone:954-533-7705
Mailing Address - Fax:954-337-2674
Practice Address - Street 1:950 N FEDERAL HWY STE 216
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-4328
Practice Address - Country:US
Practice Address - Phone:954-533-7705
Practice Address - Fax:954-337-2674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty