MEDICARE: DMH HEALTHCARE 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	363LG0600X	Gerontology Nurse Practitioner

General Provider Information

NPI Number	:	1306660642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DMH HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	8000 HAMPTON BLVD # A307
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-5615
Country	:	US
Telephone Number	:	561-984-1300
Fax Number	:	561-288-0830

Provider Business Practice Location Address
First Line	:	8000 HAMPTON BLVD APT 307A
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-5628
Country	:	US
Telephone Number	:	561-984-1300
Fax Number	:	561-288-0830

Authorized Official
Title or Position	:	MANAGER
Name	:	DUNSTAN M HENRY
Credential	:	APRN, AGNP-C
Telephone Number	:	561-984-1300

Provider Enumeration Date	:	11/13/2024
Last Update Date	:	12/08/2025

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