Healthcare Provider Details

I. General information

NPI: 1114772431
Provider Name (Legal Business Name): HEALTHPATHWAYS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2024
Last Update Date: 04/19/2024
Certification Date: 04/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14601 SW 29TH ST STE 303
MIRAMAR FL
33027-4714
US

IV. Provider business mailing address

PO BOX 223187
HOLLYWOOD FL
33022-3187
US

V. Phone/Fax

Practice location:
  • Phone: 954-526-5165
  • Fax:
Mailing address:
  • Phone: 954-445-1461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: JULIAN F NARANJO
Title or Position: CEO
Credential: M.D
Phone: 954-445-1461