Aquanova Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

AQUANOVA INC

Practice address

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

Phone

(800) 209-6550

Fax

(954) 885-1340

NPI assigned

Jan 23, 2014

Last updated

Jun 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna M Beauboeuf

Title

Ceo

Phone

(800) 209-6550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1245653450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18004 NW 6TH ST",
            "address_2": "104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292823",
            "telephone_number": "800-209-6550",
            "fax_number": "954-885-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18004 NW 6TH ST",
            "address_2": "104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292823",
            "telephone_number": "800-209-6550",
            "fax_number": "954-885-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUANOVA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "BEAUBOEUF",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-209-6550"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria A Anyikwa, PH.D.
• Anamar Aponte Mellado, M.D.
• Mariela Aponte, PT
• Cathaerina Nithchel Appadoo
• Neil A Applebaum, PSY.D.
• Aquanova Telehelath Intelligence (Aquanova Medsat)
• Joseph P. Araiza, M.D.
• Aran Eye Associates PA
• Jenny Arango-Longo, M.D.
• Gerly Araoz

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.