Provider Demographics
NPI:1376673822
Name:GLOBAL NUTRITION, LLC
Entity Type:Organization
Organization Name:GLOBAL NUTRITION, LLC
Other - Org Name:HAIMES CENTRE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-995-8484
Mailing Address - Street 1:7300 N FEDERAL HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1631
Mailing Address - Country:US
Mailing Address - Phone:561-995-8484
Mailing Address - Fax:561-995-7773
Practice Address - Street 1:7300 N FEDERAL HWY STE 100
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1631
Practice Address - Country:US
Practice Address - Phone:561-995-8484
Practice Address - Fax:561-995-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center