Provider Demographics
NPI:1861024515
Name:ANOTHER WAY 2 LLC
Entity Type:Organization
Organization Name:ANOTHER WAY 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZANDRA
Authorized Official - Middle Name:BERNETA
Authorized Official - Last Name:TUTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-937-2944
Mailing Address - Street 1:1835 E HALLANDALE BEACH BLVD # 9127
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4619
Mailing Address - Country:US
Mailing Address - Phone:954-937-2944
Mailing Address - Fax:
Practice Address - Street 1:3840 LEMON ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-3693
Practice Address - Country:US
Practice Address - Phone:954-937-2944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty