# GLADSTONE AND ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1518478445
- **Authorized official:** MARVA RICKETTS (PRESIDENT)
- **Authorized official phone:** (954) 684-3531

## Contact information

- **Practice address:** 19366 SW 65TH ST, FORT LAUDERDALE, FL 33332-3362
- **Practice address phone:** (954) 684-3531
- **Mailing address:** PO BOX 328263, FORT LAUDERDALE, FL 33332-9718
- **Mailing address phone:** (954) 684-3531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2017
- **Last updated:** 10/18/2017
