Healthcare Provider Details

I. General information

NPI: 1124811724
Provider Name (Legal Business Name): SAVIOUR MEDICAL GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 WASHINGTON ST
HOLLYWOOD FL
33020-6930
US

IV. Provider business mailing address

14855 S BISCAYNE RIVER DR
MIAMI FL
33168-4932
US

V. Phone/Fax

Practice location:
  • Phone: 786-344-5680
  • Fax:
Mailing address:
  • Phone: 786-344-5680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: YOUNG ARUWA
Title or Position: PRESIDENT
Credential:
Phone: 786-344-5680