Hydration Haven

LBN: Hydration Haven
Hydration Haven is an health care organization with primary practice located at 5600 Nw 57Th Way , Tamarac FL 33319-2420. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. Hydration Haven can be contacted via phone (786) 290-5415, or through Jackson, Marsha via phone (786) 290-5415.

Contact Information

Primary practice address
5600 Nw 57Th Way Tamarac FL 33319-2420
Phone: (786) 290-5415
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Marsha Advanced Practice Registered Nurse (APRN)
Phone: (786) 290-5415

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1376135889
LBN Legal business name Hydration Haven
DBA Doing business as
Authorized official Jackson, Marsha Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2021
Last updated Feb 5th, 2021 - about 5 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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