# ENNOBLE HC FL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386570802
- **Authorized official:** KUSHABHADRA DAS (OWNER)
- **Authorized official phone:** (551) 295-8223

## Contact information

- **Practice address:** 2744 GULF BREEZE PKWY, GULF BREEZE, FL 32563-3091
- **Practice address phone:** (551) 295-8223
- **Mailing address:** 2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601-6211
- **Mailing address phone:** (551) 295-8223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2026
- **Last updated:** 09/10/2026