Hereward Pennycooke
Hereward Pennycooke is an Attendant Care Provider in Lauderdale Lakes, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2022
Practice location Address checks out
3489 NW 24th StLauderdale Lakes, FL 33311-2610
Phone: (954) 822-3092
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X · Licence 11754900 (FL) |
|---|
Record details
| NPI number | 1053072421 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 6, 2022 |
| Last updated in NPPES | January 6, 2022 |
| Certification date | January 6, 2022 |