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 Reports
Inspection 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

NamePositionOwnership
EDWIGE JEAN-GLAUDEBOARD MEMBER/OFFICER50%
PRINSTON JEAN-GLAUDEBOARD MEMBER/OFFICER50%
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.