Provider Demographics
NPI:1982004438
Name:CONNECT CARE PARTNERS, LLC.
Entity Type:Organization
Organization Name:CONNECT CARE PARTNERS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-683-0807
Mailing Address - Street 1:3517 MAHOGANY WAY
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-6047
Mailing Address - Country:US
Mailing Address - Phone:954-683-0807
Mailing Address - Fax:954-227-0374
Practice Address - Street 1:3517 MAHOGANY WAY
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-6047
Practice Address - Country:US
Practice Address - Phone:954-683-0807
Practice Address - Fax:954-227-0374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty