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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