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Organization

AVANTE CARE ANCILLARY SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEAN J DICKMANN (PRESIDENT)
(954) 987-7180
Entity
Organization

Contact information

Practice address
4000 HOLLYWOOD BLVD, SUITE 540 NORTH, HOLLYWOOD, FL 33021-6751
(954) 987-7180
(954) 989-5287
Mailing address
4000 HOLLYWOOD BLVD, SUITE 540 NORTH, HOLLYWOOD, FL 33021-6751
(954) 987-7180
(954) 989-5287

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
251J00000X
Nursing Care Agency
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
12/21/2006
Last updated
06/04/2008
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