Healthcare Provider Details

I. General information

NPI: 1073289948
Provider Name (Legal Business Name): HEALTHPOINTE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2021
Last Update Date: 08/19/2021
Certification Date: 07/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 NW 2ND AVE STE B18
BOCA RATON FL
33431-6678
US

IV. Provider business mailing address

3350 NW 2ND AVE STE B18
BOCA RATON FL
33431-6678
US

V. Phone/Fax

Practice location:
  • Phone: 561-285-4000
  • Fax:
Mailing address:
  • Phone: 561-285-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VIRNA GRANADOS
Title or Position: PRESIDENT
Credential:
Phone: 305-362-9989