Individual provider · Type 1 NPI

Quashana Luckett

Student in an Organized Health Care Education/Training Program · Davie, FL

NPI number 1043504467 Active

Practice location

3501 S University Dr, Suite 9
Davie, FL 33328-2001

Call (954) 577-7790 Map

Fax (954) 577-7780

Mailing address

8001 SW 36th St, Suite 9
Davie, FL 33328-1915

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043504467

Quashana Luckett's National Provider Identifier is 1043504467, issued on Jun 2, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Davie, FL. The record was last updated on Jun 2, 2011.