# EMDI HEALTH LLC

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

## Provider details

- **NPI number:** 1417670357
- **Authorized official:** JENNIFER MBIANDA MD (MEDICAL DOCTOR/OWNER)
- **Authorized official phone:** (404) 287-8862

## Contact information

- **Practice address:** 3700 WASHINGTON ST STE 104, HOLLYWOOD, FL 33021-8291
- **Practice address phone:** (857) 262-1620
- **Mailing address:** 2213 FUNSTON ST, HOLLYWOOD, FL 33020-5950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 251F00000X | Home Infusion Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/26/2022
- **Last updated:** 09/26/2022