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CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC
NPI 1295894301
Clinic/Center - Mental Health (Including Community Mental Health Center) in Coconut Creek, FL

Active since December 06, 2006
4855 W HILLSBORO BLVD, SUITE B1, COCONUT CREEK, FL 33073(954) 345-5525(954) 977-4978 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Center For Identity Development South Ltd Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC (NPI 1295894301) is a healthcare organization registered as a mental health (including community mental health center) in Coconut Creek, Florida and active in the NPI registry since December 2006. The organization lists Michele Linda Lanese, President Center For Identity Devel, as its authorized official.

NPPES Registry Identity

NPI1295894301
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC
Location Address4855 W HILLSBORO BLVD, SUITE B1Coconut Creek, FL 33073-4356
Mailing Address4855 W Hillsboro Blvd, Suite B1Coconut Creek, FL 33073-4356 · (954) 345-5525 · Fax (954) 977-4978
Phone(954) 345-5525
Fax(954) 977-4978
Organization SubpartNo
Authorized OfficialMichele Linda LanesePresident Center For Identity Devel · (954) 345-5525
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 29, 2014
✔ NPI 1295894301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4855 W HILLSBORO BLVD, Coconut Creek, FL 33073
Open in Google Maps ↗

Other Identifiers 1

Medicare PINK6317FL

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIC JAY LULLOVE D.P.M.
Podiatrist (Foot & Ankle Surgery)
4855 W HILLSBORO BLVD, STE B6
COCONUT CREEK, FL 33073
Broward County (561) 989-9780
ZOYLA A. ALMEIDA MD
Obstetrics & Gynecology (Gynecologic Oncology)
4855 W HILLSBORO BLVD, SUITE B-13
COCONUT CREEK, FL 33073
Broward County (954) 420-9182
NAICKA D MATHIAS PA-C
Physician Assistant
4855 W HILLSBORO BLVD, SUITE B2
COCONUT CREEK, FL 33073
Broward County (954) 418-1683
FRANK LAVERNIA MD PA
Internal Medicine
4855 W HILLSBORO BLVD, SUITE B-6
COCONUT CREEK, FL 33073
Broward County (954) 418-8146
HEARTLAND HOME HEALTH CARE SERVICES LLC
Home Health
4855 W HILLSBORO BLVD, SUITE B-4
COCONUT CREEK, FL 33073
Broward County (954) 969-0688
MICHELE LANESE INC
Social Worker (Clinical)
4855 W HILLSBORO BLVD, SUITE B1
COCONUT CREEK, FL 33073
Broward County (954) 345-5525
MARIO FAVILLI MD PA
Family Medicine
4855 W HILLSBORO BLVD, SUITE B8
COCONUT CREEK, FL 33073
Broward County (954) 481-2278
DR. GEORGE BLANTON DO
Family Medicine
4855 W HILLSBORO BLVD, SUITE B2
COCONUT CREEK, FL 33073
Broward County (954) 418-1683

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Identity Development South Ltd Inc's NPI number?

The NPI number for Center For Identity Development South Ltd Inc is 1295894301. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Center For Identity Development South Ltd Inc located?

Center For Identity Development South Ltd Inc is located at 4855 W Hillsboro Blvd Suite B1, Coconut Creek, FL 33073. The listed phone number is (954) 345-5525.

What is Center For Identity Development South Ltd Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Center For Identity Development South Ltd Inc was last updated on July 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.