Dynamic Healthcare Providers
LBN: Dynamic Healthcare Providers
Dynamic Healthcare Providers is an health care organization with primary practice located at 2901 W Oakland Park Blvd #A1, Oakland Park FL 33311-1243. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Dynamic Healthcare Providers can be contacted via phone (954) 202-9334, or through Kelly, Samuel E via phone (954) 202-9334.
Contact Information
Primary practice address
2901 W Oakland Park Blvd #A1
Oakland Park FL 33311-1243
Phone: (954) 202-9334
Fax: (954) 202-7912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | MH3876 | Florida |
| Agencies / Community/Behavioral Health | 251S00000X | MH3876 | Florida |
Profile Details
| NPI number | 1659695831 |
|---|---|
| LBN Legal business name | Dynamic Healthcare Providers |
| DBA Doing business as | |
| Authorized official | Kelly, Samuel E ED.D., PH.D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 17th, 2010 |
| Last updated | Jan 5th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659695831 | NPPES |
| Florida | MEDICAID | 676033396 | |
| Florida | MEDICAID | 676033398 |
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