Foundation Medical Center, LLC
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Coral Springs, FL
NPI 1124538996 · NPPES record last updated Nov 17, 2019
Key facts
- NPI
- 1124538996
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- FOUNDATION MEDICAL CENTER, LLC
- Practice address
- 3000 NW 101St LN Ste 101
Coral Springs, FL 33065 - Phone
- (561) 674-2696
- Fax
- (561) 370-7899
- NPI assigned
- Oct 6, 2017
- Organization subpart
- No
Authorized official
- Name
- Mr. Evan M Kaiser
- Title
- Manager
- Phone
- (954) 272-4072
National Provider Directory
Locations
3000 NW 101st Ln
Ste 101
Coral Springs, FL 33065
Phone (954) 272-4072
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
3000 NW 101St LN Ste 101
Coral Springs, FL 33065
Mailing address
3000 NW 101St LN Ste 101
Coral Springs, FL 33065-3930
Phone (954) 272-4072
Other practice location 1
3000 NW 101st Ln Ste 101
Coral Springs, FL 33065-3930
Phone (954) 272-4072
Other providers in Coral Springs, FL
- Fort Lauderdale Medical Services, Inc.
- Forza Medicial Group
- Gabriel Forzano
- Foster & Wolkowicz MD P a
- Steven H Foster
- Foundations Therapy, Inc.
- Foundations Therapy, Inc.
- Michelle A. Fox-Slesinger
- Eric Grant Fox
- Jeffrey A Frachtman
All providers in Coral Springs, FL · Substance Use Disorder Rehabilitation Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.