Healthcare Provider Details

I. General information

NPI: 1174786149
Provider Name (Legal Business Name): HEALTH FROM INSIDE OUT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 07/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 N FEDERAL HWY STE 115
POMPANO BEACH FL
33062-4314
US

IV. Provider business mailing address

950 N FEDERAL HWY STE 115
POMPANO BEACH FL
33062-4314
US

V. Phone/Fax

Practice location:
  • Phone: 561-350-1968
  • Fax:
Mailing address:
  • Phone: 561-350-1968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code226300000X
TaxonomyKinesiotherapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: MR. WARLEY SILVA
Title or Position: CEO
Credential:
Phone: 561-350-1968