IKANN WELLNESS LLC NPI 1073381158

NPI Information

  • NPI: 1073381158
  • Provider Name: IKANN WELLNESS LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 2021 TYLER ST STE 201
    HOLLYWOOD, FL
    ZIP 33020
  • Phone: (954) 881-8661

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NPI Details

IKANN WELLNESS LLC is a rehabilitation and substance use disorder clinic center in Hollywood, FL. IKANN WELLNESS LLC NPI is 1073381158. The provider is registered as an organization entity type.

The provider's business location address is:

2021 TYLER ST STE 201
HOLLYWOOD, FL
ZIP 33020-573
Phone: (954) 881-8661

The provider's authorized official is Sarah Ruza .
The authorized official title is Ceo/program Director and has the following contact phone number (954) 881-8661.

The enumeration date for this NPI number is 12/18/2023 and was last updated on 12/18/2023.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 11/21/2025

NPI Synchronization or Removal

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