Organization
ESSENCE OF LIFE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONI DAVIS FNP-BC (NURSE PRACTIONER/OWNER)
(248) 688-4460
Entity
Organization
Contact information
Practice address
3860 SHERIDAN ST STE B, HOLLYWOOD, FL 33021-3624
(248) 688-4460
Mailing address
4343 N AUSTRALIAN AVE, WEST PALM BEACH, FL 33407-3623
(248) 688-4460
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
11/23/2022
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