Healthcare Provider Details

I. General information

NPI: 1992150114
Provider Name (Legal Business Name): GIFT ME HEALTH INTERNATIONAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2016
Last Update Date: 04/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 CLEMATIS ST STE 3000
WEST PALM BEACH FL
33401-4609
US

IV. Provider business mailing address

301 CLEMATIS ST STE 3000
WEST PALM BEACH FL
33401-4609
US

V. Phone/Fax

Practice location:
  • Phone: 561-444-8582
  • Fax:
Mailing address:
  • Phone: 561-444-8582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License NumberARNP9262040
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License NumberARNP9262040
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberARNP9262040
License Number StateFL

VIII. Authorized Official

Name: DR. NAKISHA A KINLAW
Title or Position: NURSE PRACTITIONER
Credential: DNP, ARNP
Phone: 561-444-8582