Provider Demographics
NPI:1245818327
Name:R3 HEALTH LLC
Entity type:Organization
Organization Name:R3 HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RADICH
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:845-863-4400
Mailing Address - Street 1:636 FERN STREET
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401
Mailing Address - Country:US
Mailing Address - Phone:561-331-2983
Mailing Address - Fax:561-331-2984
Practice Address - Street 1:1411 N FLAGLER DR.
Practice Address - Street 2:SUITE 9000
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401
Practice Address - Country:US
Practice Address - Phone:561-331-2983
Practice Address - Fax:561-331-2984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty