1841679149 NPI number — AMERIBELGE CENTER FOR EDUCATION INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841679149 NPI number — AMERIBELGE CENTER FOR EDUCATION INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERIBELGE CENTER FOR EDUCATION INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841679149
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
733 NW 2ND AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT LAUDERDALE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33311-7410
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-691-8504
Provider Business Mailing Address Fax Number:
305-831-1418

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4000 N STATE ROAD 7 STE 408
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAUDERDALE LAKES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33319-4864
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-691-8504
Provider Business Practice Location Address Fax Number:
305-831-1418
Provider Enumeration Date:
05/20/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JACQUES-LOUIS
Authorized Official First Name:
MARIE
Authorized Official Middle Name:
MONIQUE
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
954-691-8504

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)