Organization
KINDRED HOSPITALS EAST, LLC
Active
Other names
Kindred Hospital - South Florida Ft. Lauderdale
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (ADMINISTRATOR)
(502) 596-6063
Entity
Organization
Contact information
Practice address
1516 E LAS OLAS BLVD, FT LAUDERDALE, FL 33301-2346
(954) 764-8900
(954) 522-1971
Mailing address
1516 E LAS OLAS BLVD, FT LAUDERDALE, FL 33301-2346
(954) 764-8900
(954) 522-1971
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
4440
FL
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112989700
—
FL
01
—
Y01
BLUE CROSS
FL
Enumeration date
10/25/2006
Last updated
09/18/2025
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