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NPI Code Detail

MEDICARE: FUNCTIONAL & INTEGRATIVE HEALTH CENTER, LLC

MEDICARE: FUNCTIONAL & INTEGRATIVE HEALTH CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor
2363LW0102XWomen's Health Nurse Practitioner

General Provider Information

NPI Number : 1063270981
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUNCTIONAL & INTEGRATIVE HEALTH CENTER, LLC
Provider Business Mailing Address
First Line : 16737 NE 35TH AVE
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33160-3837
Country : US
Telephone Number : 786-246-5801
Fax Number : 786-408-5669
Provider Business Practice Location Address
First Line : 3909 NE 163RD ST # 113&113A
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33160-4126
Country : US
Telephone Number : 786-246-5801
Fax Number : 786-408-5669
Authorized Official
Title or Position : MANAGING MEMBER/OWNER
Name : ANNA SHLUGMAN
Credential : DNP, WHNP-BC
Telephone Number : 786-246-5801
Provider Enumeration Date : 03/06/2024
Last Update Date : 08/31/2024

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Directions to “FUNCTIONAL & INTEGRATIVE HEALTH CENTER, LLC ” Practice Location

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