HEAVENLY HEALTH SERVICES LLC NPI 1962828103

NPI Information

NPI: 1962828103
Provider Name: HEAVENLY HEALTH SERVICES LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
388 SW 163RD AVE
PEMBROKE PINES, FL
ZIP 33027
Phone: (954) 673-4065
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HEAVENLY HEALTH SERVICES LLC is an adult health nurse practitioner in Pembroke Pines, FL. HEAVENLY HEALTH SERVICES LLC NPI is 1962828103. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

388 SW 163RD AVE
PEMBROKE PINES, FL
ZIP 33027-084
Phone: (954) 673-4065

The provider's authorized official is Eva Mireille Jacques .
The authorized official title is Propriator and has the following contact phone number (954) 673-4065.

The enumeration date for this NPI number is 3/12/2014 and was last updated on 8/29/2014.

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	3082172	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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