MEDICARE: INTUIT HEALTH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1871966820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTUIT HEALTH LLC

Provider Business Mailing Address
First Line	:	335 E LINTON BLVD STE B14-2136
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-5023
Country	:	US
Telephone Number	:	866-857-6747
Fax Number	:

Provider Business Practice Location Address
First Line	:	335 E LINTON BLVD STE B14-2136
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-5023
Country	:	US
Telephone Number	:	866-857-6747
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	CHALLEN SULLIVAN
Credential	:
Telephone Number	:	866-857-6747

Provider Enumeration Date	:	11/12/2015
Last Update Date	:	11/12/2015

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Directions to “INTUIT HEALTH LLC ” Practice Location

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