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Organization
NURSE CARE REGISTRY
Active
Organization
NURSE CARE REGISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY THOMAS DANYLUK (PRESIDENT)
(754) 701-5225
Entity
Organization
Contact information
Practice address
837 NE 20TH AVE, SUITE 102, FORT LAUDERDALE, FL 33304-3035
(754) 701-5225
(754) 701-5231
Mailing address
837 NE 20TH AVE, SUITE 102, FORT LAUDERDALE, FL 33304-3035
(754) 701-5225
(754) 701-5231
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IN PROCESS
FL
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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