Organization Active NPI

Aquanova Telehelath Intelligence

Doing business as Aquanova Medsat

  • Nephrology Physician
  • Pembroke Pines, FL
National Provider Identifier
1205677598
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
AQUANOVA TELEHELATH INTELLIGENCE
Doing business as
Aquanova Medsat
Practice address
18004 NW 6TH St Ste 104
Pembroke Pines, FL 33029-2823
Phone
(800) 536-4270
NPI assigned
Jun 3, 2024
Last updated
Jun 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Max Francois Benjamin, MD
Title
Medical Director
Phone
(800) 209-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

18004 NW 6TH St Ste 104
Pembroke Pines, FL 33029-2823

Mailing address

18004 NW 6TH St Ste 104
Pembroke Pines, FL 33029-2823
Phone (800) 536-4270

Other practice location 1

710 Tyler St
Hollywood, FL 33019-1325
Phone (800) 536-4270

Other names 1

  • AQUANOVA MEDSAT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1205677598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18004 NW 6TH ST STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292823",
            "telephone_number": "800-536-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18004 NW 6TH ST STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292823",
            "telephone_number": "800-536-4270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Tyler St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330191325",
            "country_code": "US",
            "telephone_number": "800-536-4270",
            "fax_number": "954-885-1340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AQUANOVA TELEHELATH INTELLIGENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "FRANCOIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "800-209-6550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AQUANOVA MEDSAT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.