COMPLETE KETAMINE SOLUTIONS HOLLYWOOD LLC NPI 1295498830

NPI Information

NPI: 1295498830
Provider Name: COMPLETE KETAMINE SOLUTIONS HOLLYWOOD LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2450 HOLLYWOOD BLVD STE 701
HOLLYWOOD, FL
ZIP 33020
Phone: (954) 367-5316
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COMPLETE KETAMINE SOLUTIONS HOLLYWOOD LLC is a multi-specialty clinic center in Hollywood, FL. COMPLETE KETAMINE SOLUTIONS HOLLYWOOD LLC NPI is 1295498830. The provider is registered as an organization entity type.

The provider's business location address is:

2450 HOLLYWOOD BLVD STE 701
HOLLYWOOD, FL
ZIP 33020-628
Phone: (954) 367-5316
Fax: (954) 367-5374

The provider's authorized official is Clint Fletcher .
The authorized official title is Owner and has the following contact phone number (615) 300-3096.

The enumeration date for this NPI number is 10/20/2021 and was last updated on 10/20/2021.

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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