PRO BONO CARE LLC NPI 1922443613

NPI Information

  • NPI: 1922443613
  • Provider Name: PRO BONO CARE LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 4651 SHERIDAN ST STE 450
    HOLLYWOOD, FL
    ZIP 33021
  • Phone: (954) 983-5330

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NPI Details

PRO BONO CARE LLC is an adult mental health clinic center in Hollywood, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PRO BONO CARE LLC NPI is 1922443613. The provider is registered as an organization entity type.

The provider's business location address is:

4651 SHERIDAN ST STE 450
HOLLYWOOD, FL
ZIP 33021-415
Phone: (954) 983-5330
Fax: (954) 983-5086

The provider's authorized official is Yves S Eveillard .
The authorized official title is Agent Manager and has the following contact phone number (954) 983-5330.

The enumeration date for this NPI number is 5/8/2013 and was last updated on 5/8/2013.

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
1261QM0850XClinic/CenterAdult Mental HealthME53634FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10489379MEDICAIDFLORIDA
207625MEDICARE PINFLORIDA
3E21381MEDICARE UPINFLORIDA

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: 3/30/2025

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