Organization
FOUNDATIONS OF SOUTH FLORIDA
Active
Other names
FOUNDATIONS OF SOUTH FLORIDA
Organization subpart
No
Provider details
NPI number
Authorized official
MECHAC E TRICE JONSON (MANAGING PARTNER)
(954) 709-5570
Entity
Organization
Contact information
Practice address
999 W PROSPECT RD, OAKLAND PARK, FL 33309-4634
(954) 776-8036
Mailing address
999 W PROSPECT RD, OAKLAND PARK, FL 33309-4634
(954) 776-8036
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
—
—
343800000X
Secured Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-BID-3692692
STATE OPERATING PERMIT
FL
Enumeration date
11/06/2018
Last updated
11/06/2018
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