ESSENCE OF LIFE HEALTH LLC NPI 1013555077

NPI Information

NPI: 1013555077
Provider Name: ESSENCE OF LIFE HEALTH LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 10D2275058

Address:
3860 SHERIDAN ST STE B
HOLLYWOOD, FL
ZIP 33021
Phone: (248) 688-4460
Get Directions

ESSENCE OF LIFE HEALTH LLC is a multi-specialty clinic center in Hollywood, FL. ESSENCE OF LIFE HEALTH LLC NPI is 1013555077. The provider is registered as an organization entity type.

The provider's business location address is:

3860 SHERIDAN ST STE B
HOLLYWOOD, FL
ZIP 33021-624
Phone: (248) 688-4460

The provider's authorized official is Eboni Davis .
The authorized official title is Nurse Practioner/owner and has the following contact phone number (248) 688-4460.

The CLIA number assigned to this NPI record is 10D2275058 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2019 and was last updated on 11/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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