Healthcare Provider Details

I. General information

NPI: 1437722303
Provider Name (Legal Business Name): HEALTH HOLDINGS COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2021
Last Update Date: 09/22/2021
Certification Date: 09/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 OSPREY BLVD STE 101
BARTOW FL
33830-4340
US

IV. Provider business mailing address

2250 OSPREY BLVD STE 101
BARTOW FL
33830-4340
US

V. Phone/Fax

Practice location:
  • Phone: 863-533-8215
  • Fax: 863-533-3822
Mailing address:
  • Phone: 863-533-8215
  • Fax: 863-533-3822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SANTIAGO MOISES MARTIN
Title or Position: COO
Credential:
Phone: 305-913-9441