Organization
BREATHE EASY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUMAIRA JAGVANI APRN (OWNER)
(954) 439-3333
Entity
Organization
Contact information
Practice address
14741 SW 11TH ST, PEMBROKE PINES, FL 33027-6193
(954) 439-4333
Mailing address
14741 SW 11TH ST, PEMBROKE PINES, FL 33027-6193
(954) 439-4333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207VG0400X
Gynecology Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
251F00000X
Home Infusion Agency
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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