# PUUWAI PROFESSIONAL ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PUUWAI PROFESSIONAL ENTERPRISES, LLC
- **Other names:** Poipu Urgent Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891163747
- **Legal business name:** PUUWAI PROFESSIONAL ENTERPRISES, LLC
- **Authorized official:** DR. JOSEPH WAYNE BURRIS JR. MD (PRESIDENT)
- **Authorized official phone:** (808) 652-7021

## Contact information

- **Practice address:** 2585 WAHO ST, KOLOA, HI 96756-9550
- **Practice address phone:** (808) 652-7021
- **Mailing address:** 2585 WAHO ST, KOLOA, HI 96756-9550
- **Mailing address phone:** (808) 652-7021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 14727 | HI | Yes |

## Other

- **Enumeration date:** 09/09/2015
- **Last updated:** 12/24/2016