Provider Demographics
NPI:1114772431
Name:HEALTHPATHWAYS, LLC
Entity Type:Organization
Organization Name:HEALTHPATHWAYS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:NARANJO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-445-1461
Mailing Address - Street 1:PO BOX 223187
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33022-3187
Mailing Address - Country:US
Mailing Address - Phone:954-445-1461
Mailing Address - Fax:
Practice Address - Street 1:14601 SW 29TH ST STE 303
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4714
Practice Address - Country:US
Practice Address - Phone:954-526-5165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty