Provider Demographics
NPI:1245064385
Name:WHOLE HEALTH PEDIATRICS, LLC
Entity type:Organization
Organization Name:WHOLE HEALTH PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HIERHOLZER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-632-7939
Mailing Address - Street 1:6600 UNIVERSITY PKWY STE 305
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34240-9048
Mailing Address - Country:US
Mailing Address - Phone:941-352-5437
Mailing Address - Fax:941-203-1008
Practice Address - Street 1:6600 UNIVERSITY PKWY STE 305
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34240-9048
Practice Address - Country:US
Practice Address - Phone:941-541-8670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-30
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty