HYDRATION HAVEN NPI 1376135889

NPI Information

NPI: 1376135889
Provider Name: HYDRATION HAVEN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5600 NW 57TH WAY
TAMARAC, FL
ZIP 33319
Phone: (786) 290-5415
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HYDRATION HAVEN is a primary care nurse practitioner in Tamarac, FL. HYDRATION HAVEN NPI is 1376135889. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5600 NW 57TH WAY
TAMARAC, FL
ZIP 33319-420
Phone: (786) 290-5415

The provider's authorized official is Marsha Jackson .
The authorized official title is Owner and has the following contact phone number (786) 290-5415.

The enumeration date for this NPI number is 2/5/2021 and was last updated on 2/5/2021.

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	363LA2200X	Nurse Practitioner	Adult Health			No
2	363LP2300X	Nurse Practitioner	Primary Care			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: 4/28/2024

NPI Synchronization or Removal

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