Healthcare Provider Details

I. General information

NPI: 1235007873
Provider Name (Legal Business Name): HUMAN CONNECTION INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 NW 182ND TER
PEMBROKE PINES FL
33029-3712
US

IV. Provider business mailing address

2051 NW 182ND TER
PEMBROKE PINES FL
33029-3712
US

V. Phone/Fax

Practice location:
  • Phone: 954-330-8571
  • Fax:
Mailing address:
  • Phone: 954-330-8571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: OSCAR A GIMENEZ
Title or Position: OWNER
Credential:
Phone: 954-330-8571