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Organization

FOUNDATION MEDICAL CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EVAN M KAISER (MANAGER)
(954) 272-4072
Entity
Organization

Contact information

Practice address
3000 NW 101ST LN STE 101, CORAL SPRINGS, FL 33065
(561) 674-2696
(561) 370-7899
Mailing address
3000 NW 101ST LN STE 101, CORAL SPRINGS, FL 33065-3930
(954) 272-4072
(954) 255-9553

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
261QM0850X
Adult Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
10/06/2017
Last updated
11/17/2019
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