Healthcare Provider Details

I. General information

NPI: 1326979519
Provider Name (Legal Business Name): JOLLY HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10097 N SPRINGS WAY
CORAL SPRINGS FL
33076-2467
US

IV. Provider business mailing address

10097 N SPRINGS WAY
CORAL SPRINGS FL
33076-2467
US

V. Phone/Fax

Practice location:
  • Phone: 786-553-9253
  • Fax: 954-530-5052
Mailing address:
  • Phone: 786-553-9253
  • Fax: 954-530-5052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. SUNNY PHILIP
Title or Position: PRESIDENT
Credential: LCSW
Phone: 786-553-9253