Healthcare Provider Details

I. General information

NPI: 1194652735
Provider Name (Legal Business Name): RYAN L HELLINGER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 NW 10TH AVE
MIAMI FL
33136-1015
US

IV. Provider business mailing address

11500 SW 70TH AVE
PINECREST FL
33156-4738
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-3234
  • Fax:
Mailing address:
  • Phone: 305-562-6006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: