Provider Demographics
NPI:1952905051
Name:BROWARD HEALTH AND WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:BROWARD HEALTH AND WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN FRANCOIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-366-7348
Mailing Address - Street 1:7454 ROYAL PALM BLVD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-6881
Mailing Address - Country:US
Mailing Address - Phone:754-366-7348
Mailing Address - Fax:954-827-3352
Practice Address - Street 1:7454 ROYAL PALM BLVD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-6881
Practice Address - Country:US
Practice Address - Phone:754-366-7348
Practice Address - Fax:954-827-3352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty