Provider Demographics
NPI:1063001238
Name:HIGI CARE NETWORK (DE), P.A.
Entity Type:Organization
Organization Name:HIGI CARE NETWORK (DE), P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, CLINICAL OPERATIONS & STRATEGY
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CHIYEMBEKEZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-568-5440
Mailing Address - Street 1:382 NE 191ST ST STE 50294
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3899
Mailing Address - Country:US
Mailing Address - Phone:303-898-6737
Mailing Address - Fax:
Practice Address - Street 1:4500 N STATE ROAD 7 STE 102
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33319-5868
Practice Address - Country:US
Practice Address - Phone:561-381-9258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty