Provider Demographics
NPI:1427563881
Name:TRANSPIRE HEALTH, LLC
Entity Type:Organization
Organization Name:TRANSPIRE HEALTH, LLC
Other - Org Name:CRUCIAL CARE WITHOUT WALLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REID
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-343-9200
Mailing Address - Street 1:7077 BONNEVAL RD STE 405A
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-6010
Mailing Address - Country:US
Mailing Address - Phone:904-343-9200
Mailing Address - Fax:904-204-2274
Practice Address - Street 1:7077 BONNEVAL RD STE 405A
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6010
Practice Address - Country:US
Practice Address - Phone:904-343-9200
Practice Address - Fax:904-204-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-07
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty