Organization
ANTAEUS HEALTH SERVICES OF BROWARD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUYIN RETA (PRESIDENT)
(954) 989-1011
Entity
Organization
Contact information
Practice address
3127 W HALLANDALE BEACH BLVD, UNIT 115 B, HALLANDALE, FL 33009-5150
(954) 989-1011
(954) 989-9669
Mailing address
3127 W HALLANDALE BEACH BLVD, UNIT 115 B, HALLANDALE, FL 33009-5150
(954) 989-1011
(954) 989-9669
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING MEDICARE#
PENDING MEDICARE#
FL
Enumeration date
04/07/2008
Last updated
04/07/2008
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