Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hydration Haven

Organization Adult Health Nurse Practitioner · NPI 1376135889

Hydration Haven is an Adult Health Nurse Practitioner in Tamarac, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

5600 NW 57th Way
Tamarac, FL 33319-2420
Phone: (786) 290-5415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1376135889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marsha Jackson — Owner · (786) 290-5415
NPI enumeratedFebruary 5, 2021
Last updated in NPPESFebruary 5, 2021
Certification dateFebruary 5, 2021
Mailing address5600 Nw 57th Way, Tamarac, FL 33319-2420

Other providers in Tamarac