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NPI Code Detail

MEDICARE: NOVA HEALTH INNOVATION PARTNERS

MEDICARE: NOVA HEALTH INNOVATION PARTNERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302F00000XExclusive Provider Organization

General Provider Information

NPI Number : 1063097962
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOVA HEALTH INNOVATION PARTNERS
Provider Business Mailing Address
First Line : 100 E PINE ST STE 110
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2759
Country : US
Telephone Number : 407-588-7835
Fax Number :
Provider Business Practice Location Address
First Line : 100 E PINE ST STE 110
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2759
Country : US
Telephone Number : 407-588-7835
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF NETWORK DEVELOPMENT
Name : JOSE A QUEZADA
Credential :
Telephone Number : 407-588-7835
Provider Enumeration Date : 03/11/2021
Last Update Date : 03/11/2021

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Directions to “NOVA HEALTH INNOVATION PARTNERS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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