The Family Place FL, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

THE FAMILY PLACE FL, LLC

Practice address

2151 E Commercial Blvd Ste 301
Fort Lauderdale, FL 33308-3807

Phone

(954) 288-2555

NPI assigned

Sep 28, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark J Korcock

Title

President

Phone

(954) 288-2555

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569628800000",
    "number": "1124679329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 E COMMERCIAL BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333345721",
            "telephone_number": "954-288-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 E COMMERCIAL BLVD STE 301",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083807",
            "telephone_number": "954-288-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY PLACE FL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-28",
        "last_updated": "2019-09-28",
        "status": "A",
        "authorized_official_last_name": "KORCOCK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-288-2555"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Core Centers, LLC
• The Dental Group LLC
• The Dental Group LLC
• The Dental Loft LLC
• The Doctors of Sleep Apnea LLC
• The Family Place FL, Professional Group, LLC
• The Garden of Health, Inc
• The Good Sheperd II Alf Inc
• The Green Dental Studio PA
• The Healing Arts Company

• Substance Abuse Rehabilitation Facility in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.