THE ARK NUTRITION AND WELLNESS CENTER NPI 1417481250

NPI Information

NPI: 1417481250
Provider Name: THE ARK NUTRITION AND WELLNESS CENTER
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1960 NE 47TH ST STE 102
FT LAUDERDALE, FL
ZIP 33308
Phone: (954) 888-8335
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THE ARK NUTRITION AND WELLNESS CENTER is a health service clinic center in Ft Lauderdale, FL. THE ARK NUTRITION AND WELLNESS CENTER NPI is 1417481250. The provider is registered as an organization entity type.

The provider's business location address is:

1960 NE 47TH ST STE 102
FT LAUDERDALE, FL
ZIP 33308-708
Phone: (954) 888-8335

The provider's authorized official is Joshua Gothelf .
The authorized official title is Physician Assistant and has the following contact phone number (954) 888-8335.

The enumeration date for this NPI number is 4/19/2017 and was last updated on 4/19/2017.

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	261QH0100X	Clinic/Center	Health Service	PA9109573	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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