Individual
ANHA ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(954) 844-4491
Mailing address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
05/02/2017
Last updated
04/08/2024
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