MEDICARE: HOPE HEALTH AND WELLNESS INC

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	261QP2300X	Primary Care Clinic/Center
2	261QM1300X	Multi-Specialty Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K8376	OTHER	FL	MEDICARE

General Provider Information

NPI Number	:	1497920771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE HEALTH AND WELLNESS INC

Provider Business Mailing Address
First Line	:	7731 N MILITARY TRL
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-7430
Country	:	US
Telephone Number	:	561-721-9696
Fax Number	:	561-721-9722

Provider Business Practice Location Address
First Line	:	4360 NORTHLAKE BLVD STE 105
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-6265
Country	:	US
Telephone Number	:	561-721-9696
Fax Number	:	561-686-8073

Authorized Official
Title or Position	:	CEO
Name	:	ANDREW P HOPE
Credential	:	DC
Telephone Number	:	561-686-0120

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	06/12/2020

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Directions to “HOPE HEALTH AND WELLNESS INC ” Practice Location

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