Provider Demographics
NPI:1184691578
Name:SOUTH FLORIDA CENTER FOR HOPE INC.
Entity type:Organization
Organization Name:SOUTH FLORIDA CENTER FOR HOPE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FINE
Authorized Official - Suffix:
Authorized Official - Credentials:CHT
Authorized Official - Phone:954-571-9392
Mailing Address - Street 1:1898 W HILLSBORO BLVD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1434
Mailing Address - Country:US
Mailing Address - Phone:954-571-9392
Mailing Address - Fax:954-571-6788
Practice Address - Street 1:1898 W HILLSBORO BLVD
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1434
Practice Address - Country:US
Practice Address - Phone:954-571-9392
Practice Address - Fax:954-571-6788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-03
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCCR14182083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K3509Medicare PIN