# INTEGRATED CARE OF FLORIDA LLC

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

## Provider details

- **NPI number:** 1740884485
- **Authorized official:** HERBERT GOLDWIRE APRN (AUTONOMOUS NURSE PRACTITIONER)
- **Authorized official phone:** (954) 681-2881

## Contact information

- **Practice address:** 703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
- **Practice address phone:** (954) 436-5000
- **Mailing address:** 11216 NW 7TH ST, CORAL SPRINGS, FL 33071-7957
- **Mailing address phone:** (954) 681-2881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/23/2020
- **Last updated:** 11/23/2020