Healthcare Provider Details

I. General information

NPI: 1811249576
Provider Name (Legal Business Name): LAXMI HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2012
Last Update Date: 10/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 W CAMINO REAL STE 102
BOCA RATON FL
33433-5514
US

IV. Provider business mailing address

7600 W CAMINO REAL STE 102
BOCA RATON FL
33433-5514
US

V. Phone/Fax

Practice location:
  • Phone: 561-235-5206
  • Fax: 561-235-5210
Mailing address:
  • Phone: 561-235-5206
  • Fax: 561-235-5210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NIRANJAN SHINTRE
Title or Position: OFFICER
Credential:
Phone: 561-985-3577