Healthcare Provider Details

I. General information

NPI: 1881033611
Provider Name (Legal Business Name): DR. HELEN HOVEIDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2013
Last Update Date: 06/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 E ALEXANDER ST
PLANT CITY FL
33563-7165
US

IV. Provider business mailing address

512 E ALEXANDER ST
PLANT CITY FL
33563-7165
US

V. Phone/Fax

Practice location:
  • Phone: 813-752-3030
  • Fax: 813-752-0132
Mailing address:
  • Phone: 813-752-3030
  • Fax: 813-752-0132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN20136
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: