Healthcare Provider Details

I. General information

NPI: 1912643644
Provider Name (Legal Business Name): HEALTH FACILITIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 05/05/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7284 SW SR 26
TRENTON FL
32693
US

IV. Provider business mailing address

7284 SW SR 26
TRENTON FL
32693
US

V. Phone/Fax

Practice location:
  • Phone: 352-463-1222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER GABRIEL GONZALEZ
Title or Position: ACCOUNT MANAGER
Credential:
Phone: 813-300-2411