Basic Information
Provider Information
NPI: 1427215805
EntityType: 2
ReplacementNPI:  
OrganizationName: EMPIRE HEALTHCARE CONSULTANTS INC.
LastName:  
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Mailing Information
Address1: 4330 W BROWARD BLVD
Address2: SUITE G
City: PLANTATION
State: FL
PostalCode: 333173775
CountryCode: US
TelephoneNumber: 9547919580
FaxNumber:  
Practice Location
Address1: 4330 W BROWARD BLVD
Address2: SUITE G
City: PLANTATION
State: FL
PostalCode: 333173775
CountryCode: US
TelephoneNumber: 9547919580
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/22/2008
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: VILLORIA
AuthorizedOfficialFirstName: JENNIFER
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: DIRECTOR OF OPERATIONS
AuthorizedOfficialTelephone: 9546873560
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
302F00000X FLY Managed Care OrganizationsExclusive Provider Organization 

No ID Information.


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