Organization · Type 2 NPI

The Poverello Center Inc

Voluntary or Charitable Agency · Wilton Manors, FL

NPI number 1821021361 Active

Practice location

2056 N Dixie Hwy
Wilton Manors, FL 33305-2270

Fax (954) 213-6597

Specialties and licenses

Taxonomy	Code	License
Voluntary or Charitable Agency Primary	251V00000X	2005-06 (FL)

Voluntary or Charitable Agency: Definition to come...

Another provider at this address

Guillermo Edgardo Guerra, APRNFamily Nurse Practitioner Wilton Manors, FL NPI 1992824692

NPI record

NPI: 1821021361
Entity type: Organization (Type 2)
Issued: Jul 8, 2006
Last updated: Apr 25, 2022
Status: Active

Other names

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Poverello Food and Nutrition Center · other name
Poverello Food and Nutrition Center · other name

Authorized official

Mr. Thomas M Smith, LCSW
CEO
(954) 213-6597

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821021361

The Poverello Center Inc's National Provider Identifier is 1821021361, issued on Jul 8, 2006. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Wilton Manors, FL. The record was last updated on Apr 25, 2022.