Healthcare Provider Details
I. General information
NPI: 1851130801
Provider Name (Legal Business Name): HEALTHY BIGYNINGS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2024
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 SUNNY ISLES BLVD APT 1103
SUNNY ISLES BEACH FL
33160-5090
US
IV. Provider business mailing address
400 SUNNY ISLES BLVD APT 1103
SUNNY ISLES BEACH FL
33160-5090
US
V. Phone/Fax
- Phone: 786-681-4457
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LIZA
LIZARRAGA-NADIMI HARANDI
Title or Position: PHYSICIAN
Credential: MD
Phone: 786-681-4457