Provider Demographics
NPI:1902585060
Name:SMARTMED HEALTH LLC
Entity Type:Organization
Organization Name:SMARTMED HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NAUSHEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-210-8975
Mailing Address - Street 1:1600 N FEDERAL HWY STE B
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-3229
Mailing Address - Country:US
Mailing Address - Phone:954-785-6343
Mailing Address - Fax:
Practice Address - Street 1:1600 N FEDERAL HWY STE B
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-3229
Practice Address - Country:US
Practice Address - Phone:954-785-6343
Practice Address - Fax:954-785-4322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care