Provider Demographics
NPI:1831340678
Name:FORTUNE TRAFFIC SCHOOL,INC
Entity type:Organization
Organization Name:FORTUNE TRAFFIC SCHOOL,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MUYINAT
Authorized Official - Middle Name:DURORIKE
Authorized Official - Last Name:IDOWU
Authorized Official - Suffix:
Authorized Official - Credentials:CNA/HHA
Authorized Official - Phone:954-739-5580
Mailing Address - Street 1:2880 W OAKLAND PARK BLVD
Mailing Address - Street 2:SUITE # 226
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33311-1354
Mailing Address - Country:US
Mailing Address - Phone:954-739-5580
Mailing Address - Fax:954-739-5427
Practice Address - Street 1:2880W.OAKLAND PARK BLVD
Practice Address - Street 2:SUITE # 226
Practice Address - City:FORT LAUDRERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311
Practice Address - Country:US
Practice Address - Phone:954-739-5580
Practice Address - Fax:954-739-5427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993192251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health