IndividualActive
Alicia Boateng
NPI 1396114591 · Contractor · North Lauderdale, FL
Provider details
- NPI number
- 1396114591
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- W259870 (FL)
Specialties & taxonomies
Other Service Providers
Practice location
6613 Sw 18th Ct
North Lauderdale, FL 33068-5219
Phone: (305) 401-7001
Approximate (ZIP-level) locationGet directions
Mailing address
6613 Sw 18th Ct
North Lauderdale, FL 33068-5219
Registry dates
- Enumerated
- 2015-09-17
- Last updated
- 2015-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.