Provider Demographics
NPI:1730225749
Name:MEDI-FLO CARE, INC.
Entity type:Organization
Organization Name:MEDI-FLO CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:FLO
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:954-704-4440
Mailing Address - Street 1:2028 NW 141ST AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-2853
Mailing Address - Country:US
Mailing Address - Phone:954-704-4440
Mailing Address - Fax:954-704-4470
Practice Address - Street 1:2028 NW 141ST AVE
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-2853
Practice Address - Country:US
Practice Address - Phone:954-704-4440
Practice Address - Fax:954-704-4470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2009-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL884967600Medicaid