Healthcare Provider Details
I. General information
NPI: 1740903756
Provider Name (Legal Business Name): HEALTH HOLDINGS COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2022
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6111 DELTONA BLVD
SPRING HILL FL
34606-1011
US
IV. Provider business mailing address
2600 S DOUGLAS RD STE 308
CORAL GABLES FL
33134-6134
US
V. Phone/Fax
- Phone: 727-845-3333
- Fax:
- Phone: 305-913-9454
- Fax: 305-442-1198
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SANTIAGO
MOISES MARTIN
Title or Position: PRESIDENT OF CENTER OPERATIONS
Credential:
Phone: 305-913-9441