OrganizationActive
Gay & Lesbian Community Center of Greater Fort Lauderdale, Inc.
NPI 1649119538 · Community Health Clinic/Center · Wilton Manors, FL
Provider details
- NPI number
- 1649119538
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Boo, Ceo(954) 463-9005
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
2040 N Dixie Hwy
Wilton Manors, FL 33305-2255
Phone: (954) 463-9005
Approximate (ZIP-level) locationGet directions
Mailing address
2040 N Dixie Hwy
Wilton Manors, FL 33305-2255
Registry dates
- Enumerated
- 2026-03-26
- Last updated
- 2026-05-04
- Certified
- 2026-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.