Provider Demographics
NPI:1063031524
Name:OVERFLOW HEALTH ALLIANCE INC
Entity Type:Organization
Organization Name:OVERFLOW HEALTH ALLIANCE INC
Other - Org Name:OVERFLOW HEALTH ALLIANCE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:JOSHUA
Authorized Official - Last Name:HARDEN-GIVENS
Authorized Official - Suffix:
Authorized Official - Credentials:RPT/MA
Authorized Official - Phone:904-468-7944
Mailing Address - Street 1:5045 SOUTEL DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32208-1898
Mailing Address - Country:US
Mailing Address - Phone:904-468-7944
Mailing Address - Fax:
Practice Address - Street 1:5045 SOUTEL DR STE 12
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-1885
Practice Address - Country:US
Practice Address - Phone:904-468-7944
Practice Address - Fax:877-325-2623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-14
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty