A HEALTHY PLACE PA NPI 1083805188

NPI Information

  • NPI: 1083805188
  • Provider Name: A HEALTHY PLACE PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 55 N OLD KINGS RD
    SUITE A
    ORMOND BEACH, FL
    ZIP 32174
  • Phone: (386) 677-4180

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NPI Details

A HEALTHY PLACE PA is a specialist in Ormond Beach, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. A HEALTHY PLACE PA NPI is 1083805188. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

55 N OLD KINGS RD
SUITE A
ORMOND BEACH, FL
ZIP 32174-506
Phone: (386) 677-4180
Fax: (386) 677-4430

The provider's authorized official is Hezi Cohen .
The authorized official title is Owner and has the following contact phone number (386) 677-4180.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 11/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H46382MEDICARE UPINFLORIDA
2K2943MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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