Organization
BROWARD LIFECARE, LLC
Active
Other names
BrightStar of Fort Lauderdale
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELO SOCHUK CSA (PRESIDENT/OWNER)
(774) 223-3459
Entity
Organization
Contact information
Practice address
777 SE 20TH ST STE 255, FORT LAUDERDALE, FL 33316-3591
(774) 223-3459
(774) 223-3465
Mailing address
4820 SW 161ST LN, MIRAMAR, FL 33027-4935
(774) 223-3459
(774) 223-3465
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
232250
FL
Other
Enumeration date
07/15/2011
Last updated
07/20/2011
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