NPI 1104268085

Florida Palms Academy,inc

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Hollywood, FL

Practice location

Address: 5925 McKinley St, Hollywood, FL 33021-4560
Phone: (954) 963-0991
Fax: (954) 963-3956
Mailing address: 10001 W Oakland Park Blvd STE 200, Sunrise, FL 33351-6925

Authorised official

Name: David L Ferguson
Title: President
Phone: (954) 746-5200

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 44 (FL)

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Registry record

NPI: 1104268085
Entity type: Organization
NPI issued: 22 Jul 2013
Record last updated: 22 Jul 2013

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.