1962930735 NPI number — P&G TENDER CARE 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 1962930735 NPI number — P&G TENDER CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
P&G TENDER CARE 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:
1962930735
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6151 MIRAMAR PKWY STE 120
Provider Second Line Business Mailing Address:
SUITE 120
Provider Business Mailing Address City Name:
MIRAMAR
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33023-3988
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-260-4494
Provider Business Mailing Address Fax Number:
888-468-0701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6151 MIRAMAR PKWY STE 120
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIRAMAR
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33023-3988
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-260-4494
Provider Business Practice Location Address Fax Number:
954-437-5547
Provider Enumeration Date:
05/24/2017

Additional Information

Authorized Official

Authorized Official Last Name:
DUNAC
Authorized Official First Name:
GUYLAINE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
954-260-4494

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 111687200 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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