# E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** E and A Healthcare on the go
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598375651
- **Authorized official:** EBONEE BLACKWOOD APRN (OWNER/PROVIDER)
- **Authorized official phone:** (561) 388-9337

## Contact information

- **Practice address:** 4745 NW 114TH DR, CORAL SPRINGS, FL 33076-2153
- **Practice address phone:** (561) 388-9337
- **Mailing address:** 4745 NW 114TH DR, CORAL SPRINGS, FL 33076-2153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/04/2020
- **Last updated:** 09/21/2020