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NPI Code Detail

MEDICARE: FLORIDA INSTITUTE OF HEALTH LTD LLLP

MEDICARE: FLORIDA INSTITUTE OF HEALTH LTD LLLP
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
1207RC0000XCardiovascular Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881799625
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA INSTITUTE OF HEALTH LTD LLLP
Provider Business Mailing Address
First Line : 4850 WEST OAKLAND PARK BLVD
Second Line : SUITE 205
City : LAUDERDALE LAKES
State : FL
Zip : 33313
Country : US
Telephone Number : 954-484-7030
Fax Number : 954-484-1280
Provider Business Practice Location Address
First Line : 7050 NW 4TH ST
Second Line : SUITE 203
City : PLANTATION
State : FL
Zip : 33317-2247
Country : US
Telephone Number : 954-587-4112
Fax Number : 954-587-2401
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. AVA ZAKEN
Credential :
Telephone Number : 954-484-7030
Provider Enumeration Date : 09/14/2006
Last Update Date : 02/29/2008

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Directions to “FLORIDA INSTITUTE OF HEALTH LTD LLLP ” Practice Location

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