MEDICARE: HOPE PARK HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	103TC0700X	Clinical Psychologist
3	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1861371296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE PARK HEALTH, LLC

Provider Business Mailing Address
First Line	:	4308 MILLER AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-2628
Country	:	US
Telephone Number	:	561-307-1801
Fax Number	:

Provider Business Practice Location Address
First Line	:	4308 MILLER AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-2628
Country	:	US
Telephone Number	:	561-307-1801
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	HEBERTO CANO
Credential	:
Telephone Number	:	561-543-1290

Provider Enumeration Date	:	08/29/2025
Last Update Date	:	08/29/2025

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Directions to “HOPE PARK HEALTH, LLC ” Practice Location

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