Basic Information
Provider Information
NPI: 1629483862
EntityType: 2
ReplacementNPI:  
OrganizationName: HEALTH CARE TRANSITIONS COMPANY, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1117 E HALLANDALE BEACH BLVD
Address2:  
City: HALLANDALE BEACH
State: FL
PostalCode: 330094488
CountryCode: US
TelephoneNumber: 9544545131
FaxNumber:  
Practice Location
Address1: 4050 SHERIDAN ST
Address2: SUITE D
City: HOLLYWOOD
State: FL
PostalCode: 330213561
CountryCode: US
TelephoneNumber: 9544545131
FaxNumber: 9542416908
Other Information
ProviderEnumerationDate: 06/26/2014
LastUpdateDate: 06/26/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: ADLER
AuthorizedOfficialFirstName: JASON
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 9544545131
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


Home