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Broward Integrative Medical Llc
Family Nurse Practitioner in Wilton Manors, Florida
NPI 1184228975

Broward Integrative Medical Llc is a Family Nurse Practitioner based in Wilton Manors, FL and is specialized in Family. Broward Integrative Medical Llc practices in Wilton Manors, FL. The NPI Number for Broward Integrative Medical Llc is 1184228975 and holds a License No. (Florida).

The current practice location address for Broward Integrative Medical Llc is 1749 Ne 26Th St Ste E, Wilton Manors, FL and can be reached out via phone at 754-218-7163.

Location: 1749 Ne 26Th St Ste E, Wilton Manors, FL, 33305-1428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184228975
Provider Name
Broward Integrative Medical Llc
Credential
Provider Entity Type
Organization
Address
1749 Ne 26Th St Ste E, Wilton Manors, FL, 33305-1428
Phone Number
754-218-7163
Fax Number
Provider Enumeration Date
11/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1749 Ne 26Th St Ste E
City
Wilton Manors
State
Florida
Zip
33305-1428
Phone Number
754-218-7163
Fax Number
person
Provider Business Mailing Address Details
Address
1749 Ne 26Th St Ste E
City
Wilton Manors
State
Florida
Zip
33305-1428
Phone Number
754-218-7163
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Infusion Therapy
Taxonomy
261QI0500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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