PHYTOGENICS CLINIC NPI 1992578611

NPI Information

  • NPI: 1992578611
  • Provider Name: PHYTOGENICS CLINIC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 4501 NW 31ST AVE
    OAKLAND PARK, FL
    ZIP 33309
  • Phone: (754) 223-7701

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NPI Details

PHYTOGENICS CLINIC is a multi-specialty clinic center in Oakland Park, FL. PHYTOGENICS CLINIC NPI is 1992578611. The provider is registered as an organization entity type.

The provider's business location address is:

4501 NW 31ST AVE
OAKLAND PARK, FL
ZIP 33309-403
Phone: (754) 223-7701
Fax: (754) 300-5998

The provider's authorized official is Joelle M Moliere .
The authorized official title is Ceo/functional Medicine Specialist and has the following contact phone number (954) 612-5831.

The enumeration date for this NPI number is 11/3/2023 and was last updated on 11/3/2023.

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
1261QM0850XClinic/CenterAdult Mental HealthNo
2103TA0400XPsychologistAddiction (Substance Use Disorder)No
3133N00000XNutritionistNo
4261Q00000XClinic/CenterNo
5261QM1300XClinic/CenterMulti-SpecialtyYes

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

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