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NPI Code Detail

MEDICARE: SAISYSTEMS HEALTH FL LLC

MEDICARE: SAISYSTEMS HEALTH FL 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
1363L00000XNurse Practitioner
2207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1255999405
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAISYSTEMS HEALTH FL LLC
Provider Business Mailing Address
First Line : 5 RESEARCH DR
Second Line :
City : SHELTON
State : CT
Zip : 06484-6232
Country : US
Telephone Number : 203-929-0790
Fax Number :
Provider Business Practice Location Address
First Line : 2054 VISTA PKWY STE 400
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-6742
Country : US
Telephone Number : 203-929-0790
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : MANOJ WADHWANI
Credential :
Telephone Number : 203-567-5211
Provider Enumeration Date : 06/03/2019
Last Update Date : 06/03/2019

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Directions to “SAISYSTEMS HEALTH FL LLC ” Practice Location

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