NPI 1164053302

Shango Husani, PEERSPECIALIST

Practitioner Peer Specialist Hollywood, FL

Practice location

Address: 2719 Hollywood Blvd STE B208, Hollywood, FL 33020-4821
Phone: (305) 766-6627

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence CRPS100311-A (FL)

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Registry record

NPI: 1164053302
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jan 2020
Record last updated: 27 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.