Provider Demographics
NPI:1174196042
Name:HEALTH HOLDINGS COMPANY LLC
Entity Type:Organization
Organization Name:HEALTH HOLDINGS COMPANY LLC
Other - Org Name:PALM MEDICAL CENTERS SOUTH LAKELAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SANTIAGO
Authorized Official - Middle Name:
Authorized Official - Last Name:MOISES MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-913-9441
Mailing Address - Street 1:5985 S FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-2533
Mailing Address - Country:US
Mailing Address - Phone:863-644-8459
Mailing Address - Fax:863-644-8450
Practice Address - Street 1:5985 S FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-2533
Practice Address - Country:US
Practice Address - Phone:863-644-8459
Practice Address - Fax:863-644-8450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center