HEALTHSIDE INC. NPI 1205406055

NPI Information

NPI: 1205406055
Provider Name: HEALTHSIDE, INC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
4730 NW 2ND AVE STE 201
BOCA RATON, FL
ZIP 33431
Phone: (561) 222-0275
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HEALTHSIDE, INC. is a health service clinic center in Boca Raton, FL. HEALTHSIDE, INC. NPI is 1205406055. The provider is registered as an organization entity type.

The provider's business location address is:

4730 NW 2ND AVE STE 201
BOCA RATON, FL
ZIP 33431-169
Phone: (561) 222-0275

The provider's authorized official is Aram C Bloom .
The authorized official title is General Counsel and has the following contact phone number (561) 222-0275.

The enumeration date for this NPI number is 6/24/2021 and was last updated on 7/19/2021.

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	Primary
1	251K00000X	Public Health or Welfare		No
2	261Q00000X	Clinic/Center		No
3	261QC1500X	Clinic/Center	Community Health	No
4	261QH0100X	Clinic/Center	Health Service	Yes
5	261QR1300X	Clinic/Center	Rural Health	No
6	291U00000X	Clinical Medical Laboratory		No
7	302R00000X	Health Maintenance Organization		No
8	305R00000X	Preferred Provider Organization		No
9	332B00000X	Durable Medical Equipment & Medical Supplies		No
10	333600000X	Pharmacy		No
11	335E00000X	Prosthetic/Orthotic Supplier		No

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: 11/14/2023

NPI Synchronization or Removal

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