Healthcare Provider Details

I. General information

NPI: 1659202604
Provider Name (Legal Business Name): ESSENTIAL HEALTH MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3909 NE 163RD ST
NORTH MIAMI BEACH FL
33160-4126
US

IV. Provider business mailing address

4234 NW 1ST DR
DEERFIELD BEACH FL
33442-9200
US

V. Phone/Fax

Practice location:
  • Phone: 754-333-1079
  • Fax: 305-330-9967
Mailing address:
  • Phone: 754-333-1079
  • Fax: 305-330-9967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. OLGA KOSYK
Title or Position: OWNER
Credential: APRN
Phone: 754-333-1079