Healthcare Provider Details

I. General information

NPI: 1679106462
Provider Name (Legal Business Name): HEALTH360 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2020
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7191 TAFT ST
HOLLYWOOD FL
33024-3805
US

IV. Provider business mailing address

7191 TAFT ST
HOLLYWOOD FL
33024-3805
US

V. Phone/Fax

Practice location:
  • Phone: 954-800-0097
  • Fax: 563-204-6014
Mailing address:
  • Phone: 954-800-0097
  • Fax: 563-204-6014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HELENE AYITI NAU
Title or Position: PROVIDER
Credential: DNP, AAPRN, FNP-C
Phone: 954-800-0097