Healthcare Provider Details

I. General information

NPI: 1700294808
Provider Name (Legal Business Name): NVH NC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2014
Last Update Date: 04/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 NW CORPORATE BLVD SUITE 260
BOCA RATON FL
33431-8542
US

IV. Provider business mailing address

PO BOX 743147
ATLANTA GA
30374-3147
US

V. Phone/Fax

Practice location:
  • Phone: 561-299-3667
  • Fax: 561-299-3670
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: HELEN BELLAR
Title or Position: OWNER
Credential: MD
Phone: 999999999999