Organization
MEDIVAN HEALTH AND COMMUNITY SERVICES, INC.
Active
Organization
MEDIVAN HEALTH AND COMMUNITY SERVICES, INC.
Active
Other names
MediVan Project
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON ROSS RN, DPA (EXECUTIVE DIRECTOR)
(954) 735-9019
Entity
Organization
Contact information
Practice address
5101 NW 21ST AVE, SUITE 510, FORT LAUDERDALE, FL 33309-2792
(954) 735-9019
(954) 733-9315
Mailing address
5101 NW 21ST AVE, SUITE 510, FORT LAUDERDALE, FL 33309-2792
(954) 735-9019
(954) 733-9315
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
09/16/2006
Last updated
08/22/2020
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