Healthcare Provider Details

I. General information

NPI: 1225968498
Provider Name (Legal Business Name): PIVVA HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 HOLLYWOOD BLVD STE 554
HOLLYWOOD FL
33021-6751
US

IV. Provider business mailing address

4000 HOLLYWOOD BLVD STE 554
HOLLYWOOD FL
33021-6751
US

V. Phone/Fax

Practice location:
  • Phone: 514-718-7418
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MOSHE SCHONDORF
Title or Position: PRESIDENT
Credential:
Phone: 514-718-7418