Provider Demographics
NPI:1508637018
Name:TO BE HEALTHY LLC
Entity Type:Organization
Organization Name:TO BE HEALTHY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RIPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-423-0903
Mailing Address - Street 1:1250 E HALLANDALE BLVD
Mailing Address - Street 2:500
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009
Mailing Address - Country:US
Mailing Address - Phone:305-423-0903
Mailing Address - Fax:718-891-1101
Practice Address - Street 1:1250 E HALLANDALE BLVD
Practice Address - Street 2:500
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009
Practice Address - Country:US
Practice Address - Phone:305-423-0903
Practice Address - Fax:718-891-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty