Provider Demographics
NPI:1043082530
Name:SICAN GROUP INCORPORATED
Entity type:Organization
Organization Name:SICAN GROUP INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSETTE
Authorized Official - Middle Name:S
Authorized Official - Last Name:CANTAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-504-5286
Mailing Address - Street 1:PO BOX 880034
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33488-0034
Mailing Address - Country:US
Mailing Address - Phone:561-504-5286
Mailing Address - Fax:800-606-9110
Practice Address - Street 1:1200 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-5032
Practice Address - Country:US
Practice Address - Phone:800-606-9110
Practice Address - Fax:800-606-9110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health