Provider Profile
PRIMARY MEDICAL CARE CENTER OF POMPANO BEACH INC
Health Care Clinic
FACILITY PROFILE
Street Address
- 1801 W SAMPLE RD STE 100
DEERFIELD BEACH, FL 33064-1370
County: Broward - Phone: (954) 289-0000
Mailing Address
- 1801 W SAMPLE RD STE 100
DEERFIELD BCH, FL 33064-1370
County: Broward - Phone: (954) 289-9000
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
Facility/Provider Type: | Health Care Clinic | |||||||||
Medical or Clinic Director: | JEAN BERLONGE PIERRE | |||||||||
Administrator: | DADLEYNE DANIEL | |||||||||
Owner/Licensee: | PRIMARY MEDICAL CARE CENTER OF POMPANO BEACH INC | |||||||||
Owner/Licensee Since: | 3/10/2021 | |||||||||
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Profit Status: | For-Profit | |||||||||
Licensed Beds: | Not Available | |||||||||
AHCA Number (File Number): | 13496 | |||||||||
AHCA Field Office: | 10 | |||||||||
License Number: | 12655 | |||||||||
Current License Effective: | 3/10/2023 | |||||||||
Current License Expires: | 3/9/2025 | |||||||||
License Status: | IN REVIEW |
Services/Characteristics
Type: | Fixed Location |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.