Provider Demographics
NPI:1841507985
Name:SYMBACARE LLC
Entity type:Organization
Organization Name:SYMBACARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHALIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS-PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-993-5286
Mailing Address - Street 1:PO BOX 121855
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-0031
Mailing Address - Country:US
Mailing Address - Phone:954-993-5286
Mailing Address - Fax:954-765-6528
Practice Address - Street 1:810 S STATE ROAD 7
Practice Address - Street 2:SUITE 2
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-4551
Practice Address - Country:US
Practice Address - Phone:954-993-5286
Practice Address - Fax:954-765-6528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty