Provider Demographics
NPI:1194223586
Name:HHD2GO, LLC
Entity Type:Organization
Organization Name:HHD2GO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:JEFFERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-808-1901
Mailing Address - Street 1:2525 PONCE DE LEON BLVD STE 1225
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6049
Mailing Address - Country:US
Mailing Address - Phone:407-808-1901
Mailing Address - Fax:305-279-3934
Practice Address - Street 1:8925 SW 148TH ST STE 110
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33176-8000
Practice Address - Country:US
Practice Address - Phone:407-808-1901
Practice Address - Fax:305-279-3934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment