Provider Demographics
NPI:1831964766
Name:NUHEALTH PRACTICE, LLC
Entity type:Organization
Organization Name:NUHEALTH PRACTICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT (RA)
Authorized Official - Prefix:
Authorized Official - First Name:MAHALAH LOUSE
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:954-353-3387
Mailing Address - Street 1:POB 5305
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33310-5305
Mailing Address - Country:US
Mailing Address - Phone:954-353-3387
Mailing Address - Fax:954-570-1707
Practice Address - Street 1:1900 W OAKLAND PARK BLVD UNIT 5305
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33310-0140
Practice Address - Country:US
Practice Address - Phone:954-353-3387
Practice Address - Fax:954-570-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)