Individual provider · Type 1 NPI

Banzoi Ilane Emmou

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

NPI number 1750160305 Active

Practice location

3200 S University Dr
Davie, FL 33328-2018

Call (301) 768-1285 Map

Mailing address

424 SW 27th Ave
Fort Lauderdale, FL 33312-2099

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 1750160305

Banzoi Ilane Emmou's National Provider Identifier is 1750160305, issued on Sep 25, 2023. 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 Sep 25, 2023.