HYDRATION HAVEN
NPI 1376135889
Nurse Practitioner - Primary Care in Tamarac, FL

Q: What is Hydration Haven's NPI number?

The NPI number for Hydration Haven is 1376135889. It was assigned to this organization in the NPPES registry on February 5, 2021.

Q: What is Hydration Haven's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Hydration Haven was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 05, 2021

5600 NW 57TH WAY, TAMARAC, FL 33319(786) 290-5415 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hydration Haven NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HYDRATION HAVEN (NPI 1376135889) is a healthcare organization registered as a primary care in Tamarac, Florida and active in the NPI registry since February 2021. The organization lists Marsha Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1376135889

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameHYDRATION HAVEN

Location Address5600 NW 57TH WAYTamarac, FL 33319-2420

Mailing Address5600 Nw 57th WayTamarac, FL 33319-2420 · (786) 290-5415

Phone(786) 290-5415

Organization SubpartNo

Authorized OfficialMarsha JacksonOwner · (786) 290-5415

Enumeration DateFebruary 5, 2021

NPPES CertifiedFebruary 5, 2021

✔ NPI 1376135889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

5600 NW 57TH WAY, Tamarac, FL 33319

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PATRISA YVETTE COLEMAN BS

Counselor (Mental Health)

5600 NW 57TH WAY
TAMARAC, FL 33319

Broward County (954) 608-2793

MARSHA JACKSON APRN

Nurse Practitioner (Adult Health)

5600 NW 57TH WAY
TAMARAC, FL 33319

Broward County (954) 471-9220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hydration Haven's NPI number?

The NPI number for Hydration Haven is 1376135889. It was assigned to this organization in the NPPES registry on February 5, 2021.

Where is Hydration Haven located?

Hydration Haven is located at 5600 NW 57th Way, Tamarac, FL 33319. The listed phone number is (786) 290-5415.

What is Hydration Haven's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Hydration Haven was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.