Provider Demographics
NPI:1700911617
Name:FLORIDA NETPASS, LLC
Entity Type:Organization
Organization Name:FLORIDA NETPASS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DALBERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-372-1273
Mailing Address - Street 1:801 E HALLANDALE BEACH BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4418
Mailing Address - Country:US
Mailing Address - Phone:305-614-5003
Mailing Address - Fax:305-620-5876
Practice Address - Street 1:801 E HALLANDALE BEACH BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4418
Practice Address - Country:US
Practice Address - Phone:305-614-5003
Practice Address - Fax:305-620-5876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization