Healthcare Provider Details

I. General information

NPI: 1699968669
Provider Name (Legal Business Name): TRI-TECH HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 10/15/2020
Certification Date: 10/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4577 N NOB HILL RD STE 212
SUNRISE FL
33351-4715
US

IV. Provider business mailing address

4577 N NOB HILL RD STE 212
SUNRISE FL
33351-4715
US

V. Phone/Fax

Practice location:
  • Phone: 954-634-6400
  • Fax: 954-634-6444
Mailing address:
  • Phone: 954-634-6400
  • Fax: 954-634-6444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM TUSHINSKI
Title or Position: PRESIDENT
Credential:
Phone: 954-634-6400