Healthcare Provider Details

I. General information

NPI: 1497920771
Provider Name (Legal Business Name): HOPE HEALTH AND WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 06/12/2020
Certification Date: 06/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4360 NORTHLAKE BLVD STE 105
PALM BEACH GARDENS FL
33410-6265
US

IV. Provider business mailing address

7731 N MILITARY TRL
WEST PALM BEACH FL
33410-7430
US

V. Phone/Fax

Practice location:
  • Phone: 561-721-9696
  • Fax: 561-686-8073
Mailing address:
  • Phone: 561-721-9696
  • Fax: 561-721-9722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREW P HOPE
Title or Position: CEO
Credential: DC
Phone: 561-686-0120