Provider Demographics
NPI:1386944700
Name:INSTITUTE OF HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:INSTITUTE OF HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HABEEB
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:LAKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-442-3400
Mailing Address - Street 1:10031 PINES BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6195
Mailing Address - Country:US
Mailing Address - Phone:954-442-3400
Mailing Address - Fax:954-442-0310
Practice Address - Street 1:10031 PINES BLVD STE 103
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6195
Practice Address - Country:US
Practice Address - Phone:954-442-3400
Practice Address - Fax:954-442-0310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0047935261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016485100Medicaid
FL043012901Medicaid
FLD64963Medicare UPIN