Provider Demographics
NPI:1346730975
Name:HEALTH NATURALLY BY DR HANOI
Entity Type:Organization
Organization Name:HEALTH NATURALLY BY DR HANOI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HANOI
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:954-794-8753
Mailing Address - Street 1:600 NE 2ND ST APT 408
Mailing Address - Street 2:
Mailing Address - City:DANIA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33004-3325
Mailing Address - Country:US
Mailing Address - Phone:954-794-8753
Mailing Address - Fax:
Practice Address - Street 1:600 NE 2ND ST APT 408
Practice Address - Street 2:
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-3325
Practice Address - Country:US
Practice Address - Phone:954-794-8753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3170261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service