MEDICARE: CLEVER & HEALTHY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1053152348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVER & HEALTHY, LLC

Provider Business Mailing Address
First Line	:	4429 HOLLYWOOD BLVD # 816634
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6609
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4429 HOLLYWOOD BLVD # 816634
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6609
Country	:	US
Telephone Number	:	305-318-1173
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JHASTIAMAY AUGUSTE
Credential	:	FNP-ARNP
Telephone Number	:	305-318-1173

Provider Enumeration Date	:	06/03/2024
Last Update Date	:	06/03/2024

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Directions to “CLEVER & HEALTHY, LLC ” Practice Location

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