NPI 1003104738
Broward Lifecare, LLC
Practice location
- Address
- 777 SE 20th St STE 255, Fort Lauderdale, FL 33316-3591
- Phone
- (774) 223-3459
- Fax
- (774) 223-3465
- Mailing address
- 4820 SW 161st Ln, Miramar, FL 33027-4935
Authorised official
- Name
- Angelo Sochuk
- Title
- President/Owner
- Phone
- (774) 223-3459
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1003104738
- Entity type
- Organization
- NPI issued
- 15 Jul 2011
- Record last updated
- 20 Jul 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.