Foot Print to Success Clubhouse Inc.

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

FOOT PRINT TO SUCCESS CLUBHOUSE INC.

Practice address

3511 NW 8TH Ave Ste 7
Pompano Beach, FL 33064-3055

Phone

(954) 657-8010

Fax

(954) 657-8046

NPI assigned

Apr 23, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Jane Harmon, RN

Title

Ceo/ President

Phone

(954) 657-8010

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1336583178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 NW 8TH AVE STE 7",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643055",
            "telephone_number": "954-657-8010",
            "fax_number": "954-657-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 NW 8TH AVE STE 7",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643055",
            "telephone_number": "954-657-8010",
            "fax_number": "954-657-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT PRINT TO SUCCESS CLUBHOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CEO/ PRESIDENT",
        "authorized_official_telephone_number": "954-657-8010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Supports Brokerage Agency in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Supports Brokerage Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.