Organization · NPI-2

Broward Childrens Center INC

Clinic/Center · Pompano Beach, FL

NPI number1831224609

StatusActive

Last updated in NPPESOct 18, 2022

Details

NPI: 1831224609
Entity type: Organization (NPI-2)
Legal business name: Broward Childrens Center INC
Organization subpart: No
Enumeration date: Feb 22, 2007
Certification date: Oct 18, 2022
Last updated: Oct 18, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261Q00000X	Clinic/Center	–	–	Yes
225100000X	Physical Therapist	–	–
225X00000X	Occupational Therapist	–	–
235Z00000X	Speech-Language Pathologist,	–	–

Practice location

104 Se 20th Avenue
Pompano Beach, FL 33060

Phone 954-943-9589 · Fax 954-943-4115

Mailing address

200 Se 19th Avenue
Pompano Beach, FL 33060

Phone 954-943-7336 · Fax 954-545-9891

Authorized official

Marjorie Evans
Chief Executive Officer
9549437336

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