Organization
PAA OF BROWARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WENNIGER (DIRECTOR)
(954) 661-1911
Entity
Organization
Contact information
Practice address
1100 NE 45TH ST, SUITE 142, OAKLAND PARK, FL 33334-3814
(954) 661-1911
Mailing address
1100 NE 45TH ST, SUITE 142, OAKLAND PARK, FL 33334-3814
(954) 661-1911
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
2849452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047067000
—
FL
Enumeration date
06/24/2009
Last updated
06/24/2009
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