# FLORIDA PALMS ACADEMY,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104268085
- **Authorized official:** DR. DAVID L FERGUSON PHD (PRESIDENT)
- **Authorized official phone:** (954) 746-5200

## Contact information

- **Practice address:** 5925 MCKINLEY ST, HOLLYWOOD, FL 33021-4560
- **Practice address phone:** (954) 963-0991
- **Practice address fax:** (954) 963-3956
- **Mailing address:** 10001 W OAKLAND PARK BLVD, STE 200, SUNRISE, FL 33351-6925
- **Mailing address phone:** (954) 746-5200
- **Mailing address fax:** (954) 746-5216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 44 | FL | Yes |

## Other

- **Enumeration date:** 07/22/2013
- **Last updated:** 07/22/2013