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	:	1699434803
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	:	813-538-7880
Fax Number	:	305-442-1198

Provider Business Practice Location Address
First Line	:	11017 N DALE MABRY HWY STE B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-3873
Country	:	US
Telephone Number	:	813-337-7402
Fax Number	:	813-461-6462

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	CARMEL N BOSWELL
Credential	:
Telephone Number	:	813-538-7880

Provider Enumeration Date	:	12/15/2021
Last Update Date	:	12/15/2021

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Directions to “HEALTH HOLDINGS COMPANY LLC ” Practice Location

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