Provider Demographics
NPI:1295226421
Name:FAMERC INC
Entity type:Organization
Organization Name:FAMERC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:M
Authorized Official - Last Name:CALDERON-FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-533-5353
Mailing Address - Street 1:10242 NW 47TH ST STE 22&23
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7903
Mailing Address - Country:US
Mailing Address - Phone:954-533-5353
Mailing Address - Fax:954-827-2763
Practice Address - Street 1:10242 NW 47TH ST STE 22&23
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7903
Practice Address - Country:US
Practice Address - Phone:954-533-5353
Practice Address - Fax:954-287-2763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101663300Medicaid
FL023677000Medicaid
FL101663300Medicaid