# FIRSTLANTIC HEALTHCARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1912174475
- **Authorized official:** MRS. MINDY BRYSMAN (SPEECH PATHOLOGIST)
- **Authorized official phone:** (954) 558-4870

## Contact information

- **Practice address:** 2069 NW 126TH AVE, PEMBROKE PINES, FL 33028-2566
- **Practice address phone:** (954) 558-4870
- **Mailing address:** 2069 NW 126TH AVE, PEMBROKE PINES, FL 33028-2566
- **Mailing address phone:** (954) 558-4870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | SA276 | FL | Yes |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 05/14/2008