Organization
GLADSTONE AND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVA RICKETTS (PRESIDENT)
(954) 684-3531
Entity
Organization
Contact information
Practice address
19366 SW 65TH ST, FORT LAUDERDALE, FL 33332-3362
(954) 684-3531
Mailing address
PO BOX 328263, FORT LAUDERDALE, FL 33332-9718
(954) 684-3531
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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