Broward Integrative Medical Llc

LBN: Broward Integrative Medical Llc
Broward Integrative Medical Llc is an health care organization with primary practice located at 1749 Ne 26Th St Ste E , Wilton Manors FL 33305-1428. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Infusion Therapy, Suppliers / Non-Pharmacy Dispensing Site, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Broward Integrative Medical Llc can be contacted via phone (754) 218-7163, or through Poyser, Rainford via phone (754) 218-7163.

Contact Information

Primary practice address
1749 Ne 26Th St Ste E Wilton Manors FL 33305-1428
Phone: (754) 218-7163
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Poyser, Rainford Advanced Practice Registered Nurse (APRN)
Phone: (754) 218-7163

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X
Suppliers / Non-Pharmacy Dispensing Site 332900000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1184228975
LBN Legal business name Broward Integrative Medical Llc
DBA Doing business as
Authorized official Poyser, Rainford Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 23rd, 2020
Last updated Nov 23rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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