Essence of Life Health LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ESSENCE OF LIFE HEALTH LLC

Practice address

3860 Sheridan St Ste B
Hollywood, FL 33021-3624

Phone

(248) 688-4460

NPI assigned

Dec 20, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eboni Davis, FNP-BC

Title

Nurse Practioner/Owner

Phone

(248) 688-4460

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1013555077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 N AUSTRALIAN AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073623",
            "telephone_number": "248-688-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 SHERIDAN ST STE B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213624",
            "telephone_number": "248-688-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5650 Corporate Way",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072002",
            "country_code": "US",
            "telephone_number": "248-688-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESSENCE OF LIFE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "EBONI",
        "authorized_official_title_or_position": "NURSE PRACTIONER/OWNER",
        "authorized_official_telephone_number": "248-688-4460",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmin Daniela Espinoza Torrico, SA-C
• Bianca Espinoza
• Doris Liliam Espinoza, OT
• Melissa Auxiliadora Espinoza
• Stephanie Esquivel
• Amna-Marie Mohammad Estrada, APRN
• Jackie Estreicher, O.D.
• Eternity Physical Therapeutics
• Osner Myrtel Etienne, APRN, PMHNP-BC
• Chelsea Eugene, RBT

• Multi-Specialty Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.