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Organization
TAZKIYAH HEALTH INSTITUTE INC
Active
Organization
TAZKIYAH HEALTH INSTITUTE INC
Active
Other names
Moyenda Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ZAKIYA BOMANI MOYENDA MD (OWNER)
(954) 774-1414
Entity
Organization
Contact information
Practice address
220 S DIXIE HWY STE 4, LAKE WORTH, FL 33460-4153
(954) 774-1414
Mailing address
10276 OAK MEADOW LN STE 1A, LAKE WORTH, FL 33449-5467
(954) 774-1414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME121227
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015182600
—
FL
Enumeration date
04/18/2018
Last updated
04/19/2023
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