Organization
UNITED CEREBRAL PALSY OF BROWARD COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER PHIPPS (EXECUTIVE ASSISTANT)
(954) 584-7178
Entity
Organization
Contact information
Practice address
3595 2ND AVENUE N, LAKE WORTH, FL 33461-3346
(561) 357-7779
Mailing address
3595 2ND AVENUE N, LAKE WORTH, FL 33461-2707
(954) 315-4041
(954) 315-4099
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
FL
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880506700
—
FL
Enumeration date
09/07/2018
Last updated
09/12/2019
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