Organization · Type 2 NPI
Broward Integrative Medical LLC
Family Nurse Practitioner · Wilton Manors, FL
NPI number
1184228975
Active
Practice location
1749 NE 26th St Ste E
Wilton Manors, FL 33305-1428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center | 261QH0100X | None listed |
| Infusion Therapy Clinic/Center | 261QI0500X | None listed |
| Non-Pharmacy Dispensing Site | 332900000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Wilton Manors
About NPI 1184228975
Broward Integrative Medical LLC's National Provider Identifier is 1184228975, issued on Nov 23, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wilton Manors, FL. The record was last updated on Nov 23, 2020.