Provider Demographics
NPI:1487226841
Name:ENHANCED INTEGRATIVE HEALTH P.A.
Entity Type:Organization
Organization Name:ENHANCED INTEGRATIVE HEALTH P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARAREH
Authorized Official - Middle Name:
Authorized Official - Last Name:IZADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-327-4639
Mailing Address - Street 1:7655 14TH LN
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32966-1220
Mailing Address - Country:US
Mailing Address - Phone:213-327-4639
Mailing Address - Fax:
Practice Address - Street 1:703 S 29TH ST
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34947-3625
Practice Address - Country:US
Practice Address - Phone:772-466-3322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty