| Organization Name: | CAREVANTAGE MEDICAL CENTERS OF BROWARD AT STERLING ROAD,LLC |
| NPI Number: | 1972871937 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT THORNE (OWNER) |
| Mailing Address: | 2536 N State Road 7 Hollywood |
| State: | FL US |
| Postal Code: | 330213205 |
| Phone Number: | 9549838844 |
| Fax Number: | 9549838855 |
| NPI Enumeration Date: | 12/06/2011 |
| NPI Last Update Date: | 08/08/2013 |
| Replacement NPI: | 0 |
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Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
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