Provider Demographics
NPI:1801622212
Name:YOUR DOCTOR IN TOUCH OF SOUTH FLORIDA, LLC
Entity type:Organization
Organization Name:YOUR DOCTOR IN TOUCH OF SOUTH FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:GROSSO
Authorized Official - Suffix:JR
Authorized Official - Credentials:LNHA
Authorized Official - Phone:561-888-9971
Mailing Address - Street 1:6235 PETUNIA RD
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-4683
Mailing Address - Country:US
Mailing Address - Phone:561-888-9971
Mailing Address - Fax:
Practice Address - Street 1:6235 PETUNIA RD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-4683
Practice Address - Country:US
Practice Address - Phone:561-888-9971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty