PHOENIX CLINIC INC OF BROWARD NPI 1811927262

NPI Information

NPI: 1811927262
Provider Name: PHOENIX CLINIC INC OF BROWARD
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2212 SW 60TH TERRACE
MIRAMAR, FL
ZIP 33023
Phone: (954) 491-2133
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PHOENIX CLINIC INC OF BROWARD is a mental health (including community mental health center) clinic center in Miramar, FL. PHOENIX CLINIC INC OF BROWARD NPI is 1811927262. The provider is registered as an organization entity type.

The provider's business location address is:

2212 SW 60TH TERRACE
MIRAMAR, FL
ZIP 33023
Phone: (954) 491-2133
Fax: (954) 491-2344

The provider's authorized official is Bonnie Graham .
The authorized official title is Chief Executive Officer and has the following contact phone number (305) 891-3439.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 8/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	1006AD354501	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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