Provider Demographics
NPI:1326565086
Name:HEALTHY LIVING VISITING PHYSICIANS LLC
Entity Type:Organization
Organization Name:HEALTHY LIVING VISITING PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALIZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-895-9004
Mailing Address - Street 1:6901 OKEECHOBEE BLVD STE C12
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2512
Mailing Address - Country:US
Mailing Address - Phone:561-469-7005
Mailing Address - Fax:
Practice Address - Street 1:6901 OKEECHOBEE BLVD STE C12
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2512
Practice Address - Country:US
Practice Address - Phone:561-469-7005
Practice Address - Fax:561-584-7208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-24
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care