Healthcare Provider Details

I. General information

NPI: 1710257779
Provider Name (Legal Business Name): HOPE HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2012
Last Update Date: 01/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8190 JOG RD
BOYNTON BEACH FL
33472-2912
US

IV. Provider business mailing address

655 N MILITARY TRL
WEST PALM BEACH FL
33415-1305
US

V. Phone/Fax

Practice location:
  • Phone: 561-686-0120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW HOPE
Title or Position: OWNER
Credential: CHIROPRACTOR
Phone: 561-686-0120