Healthcare Provider Details

I. General information

NPI: 1396346482
Provider Name (Legal Business Name): BEST CHOICE WELLNESS AND AESTHETICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2020
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 W COMMERCIAL BLVD STE 101
TAMARAC FL
33309-3333
US

IV. Provider business mailing address

3304 NW 29TH CT
LAUDERDALE LAKES FL
33311-1105
US

V. Phone/Fax

Practice location:
  • Phone: 954-546-3481
  • Fax:
Mailing address:
  • Phone: 954-729-7706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: SAYAN A GRAHAM
Title or Position: OWNER
Credential: APRN
Phone: 954-546-3481