Healthcare Provider Details

I. General information

NPI: 1952130007
Provider Name (Legal Business Name): FOCUSED HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 07/29/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8750 STERLING ROAD 102-409
HOLLYWOOD FL
33024
US

IV. Provider business mailing address

2114 N FLAMINGO RD # NUMB2054
PEMBROKE PINES FL
33028-3501
US

V. Phone/Fax

Practice location:
  • Phone: 954-947-2028
  • Fax:
Mailing address:
  • Phone: 954-547-2028
  • Fax: 954-547-2028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SANDRA GABRIEL
Title or Position: APRN
Credential: DNP, APRN, FNP-BC
Phone: 954-947-2028