Provider Demographics
NPI:1053720243
Name:FOUNDATION FOR SICKLE CELL DISEASE RESEARCH
Entity type:Organization
Organization Name:FOUNDATION FOR SICKLE CELL DISEASE RESEARCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:LANETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRONTE-HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-397-3251
Mailing Address - Street 1:1685 S STATE ROAD 7
Mailing Address - Street 2:UNIT 4
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3625
Mailing Address - Country:US
Mailing Address - Phone:954-397-3251
Mailing Address - Fax:
Practice Address - Street 1:1685 S STATE ROAD 7
Practice Address - Street 2:UNIT 4
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023
Practice Address - Country:US
Practice Address - Phone:954-397-3251
Practice Address - Fax:954-374-6320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty