Provider Demographics
NPI:1730473687
Name:HEALTH EFFECTS INC
Entity Type:Organization
Organization Name:HEALTH EFFECTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR V P OF MEDICAL MGMT
Authorized Official - Prefix:MS
Authorized Official - First Name:KASSANDRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:305-771-1060
Mailing Address - Street 1:10151 UNIVERSITY BLVD
Mailing Address - Street 2:STE. 255
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-1904
Mailing Address - Country:US
Mailing Address - Phone:305-771-1060
Mailing Address - Fax:
Practice Address - Street 1:10151 UNIVERSITY BLVD
Practice Address - Street 2:STE. 255
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-1904
Practice Address - Country:US
Practice Address - Phone:305-771-1060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY281922-1164W00000X
171M00000X, 1744R1103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/CoderGroup - Multi-Specialty