Provider Demographics
NPI:1427009216
Name:HEALTH GROUP, INC
Entity Type:Organization
Organization Name:HEALTH GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-249-0077
Mailing Address - Street 1:1280 SW 1ST ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2450
Mailing Address - Country:US
Mailing Address - Phone:305-249-0077
Mailing Address - Fax:305-249-0078
Practice Address - Street 1:1280 SW 1ST ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2450
Practice Address - Country:US
Practice Address - Phone:305-249-0077
Practice Address - Fax:305-249-0078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC5948261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHCC5948OtherHEALTH CARE CLINIC LICENS
FL21650Medicare ID - Type Unspecified