Healthcare Provider Details

I. General information

NPI: 1295564797
Provider Name (Legal Business Name): NAJWA NAAMI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 COLLEGE AVE
DAVIE FL
33314-7721
US

IV. Provider business mailing address

7170 SW 22ND ST
DAVIE FL
33317-7122
US

V. Phone/Fax

Practice location:
  • Phone: 954-262-7500
  • Fax:
Mailing address:
  • Phone: 754-715-0350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: