Organization
LIGHTHOUSE FAMILY INJURY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE F FERNANDES LMT (PRESIDENT)
(954) 943-6348
Entity
Organization
Contact information
Practice address
760 W SAMPLE RD, SUITE #9, POMPANO BEACH, FL 33064-2768
(954) 943-6348
(954) 943-0228
Mailing address
PO BOX 5068, LIGHTHOUSE POINT, FL 33074-5068
(954) 943-6348
(954) 943-0228
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
HCC4989
FL
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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