MEDICARE: NUHEALTH PRACTICE, 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1831964766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUHEALTH PRACTICE, LLC

Provider Business Mailing Address
First Line	:	POB 5305
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33310-5305
Country	:	US
Telephone Number	:	954-353-3387
Fax Number	:	954-570-1707

Provider Business Practice Location Address
First Line	:	1900 W OAKLAND PARK BLVD UNIT 5305
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33310-0140
Country	:	US
Telephone Number	:	954-353-3387
Fax Number	:	954-570-1707

Authorized Official
Title or Position	:	REGISTERED AGENT (RA)
Name	:	MAHALAH LOUSE BATTO
Credential	:	DNP
Telephone Number	:	954-353-3387

Provider Enumeration Date	:	11/21/2023
Last Update Date	:	10/10/2024

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