Organization
EMDI HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MBIANDA MD (MEDICAL DOCTOR/OWNER)
(404) 287-8862
Entity
Organization
Contact information
Practice address
3700 WASHINGTON ST STE 104, HOLLYWOOD, FL 33021-8291
(857) 262-1620
Mailing address
2213 FUNSTON ST, HOLLYWOOD, FL 33020-5950
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
251F00000X
Home Infusion Agency
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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