Individual
ELLA FURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 EDGEWOOD DR, COCONUT CREEK, FL 33066-1835
(412) 889-0923
Mailing address
4040 EDGEWOOD DR, COCONUT CREEK, FL 33066-1835
(412) 889-0923
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113563300
—
FL
Enumeration date
05/22/2022
Last updated
05/22/2022
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