Organization · Type 2 NPI

Heavenly Health Services LLC

Adult Health Nurse Practitioner · Pembroke Pines, FL

NPI number 1962828103 Active

Practice location

388 SW 163rd Ave
Pembroke Pines, FL 33027-1084

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X3082172 (FL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1962828103

Heavenly Health Services LLC's National Provider Identifier is 1962828103, issued on Mar 12, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Pembroke Pines, FL. The record was last updated on Aug 29, 2014.