Provider Demographics
NPI:1265149983
Name:DES CARES LLC
Entity type:Organization
Organization Name:DES CARES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:561-291-7070
Mailing Address - Street 1:5700 LAKE WORTH RD STE 210
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3275
Mailing Address - Country:US
Mailing Address - Phone:561-291-7070
Mailing Address - Fax:
Practice Address - Street 1:4106 BAHIA ISLE CIR
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33449-8307
Practice Address - Country:US
Practice Address - Phone:561-291-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care