Healthcare Provider Details

I. General information

NPI: 1023325131
Provider Name (Legal Business Name): HEALTHONE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2010
Last Update Date: 09/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1413 S POWERLINE RD
POMPANO BEACH FL
33069-4315
US

IV. Provider business mailing address

1413 S POWERLINE RD
POMPANO BEACH FL
33069-4315
US

V. Phone/Fax

Practice location:
  • Phone: 954-974-1105
  • Fax: 954-917-1939
Mailing address:
  • Phone: 954-974-1105
  • Fax: 954-917-1939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberHCC8860
License Number StateFL

VIII. Authorized Official

Name: MR. ALEX ALVAREZ
Title or Position: CEO
Credential:
Phone: 954-974-1105