MEDICARE: HEALTH HOLDINGS COMPANY LLC

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
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1346910403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH HOLDINGS COMPANY LLC

Provider Business Mailing Address
First Line	:	2600 S DOUGLAS RD STE 308
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-6134
Country	:	US
Telephone Number	:	727-255-4416
Fax Number	:

Provider Business Practice Location Address
First Line	:	6836 MEDICAL VIEW LN
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-6615
Country	:	US
Telephone Number	:	813-859-5449
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	SANTIAGO MOISES MARTIN
Credential	:
Telephone Number	:	305-913-9441

Provider Enumeration Date	:	09/20/2021
Last Update Date	:	09/22/2021

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