Provider Demographics
NPI:1265812705
Name:SPIRAHEALTH
Entity type:Organization
Organization Name:SPIRAHEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF ORIENTAL MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:NOBIL
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:305-978-1033
Mailing Address - Street 1:1835 E HALLANDALE BEACH BLVD
Mailing Address - Street 2:#606
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4619
Mailing Address - Country:US
Mailing Address - Phone:305-978-1033
Mailing Address - Fax:
Practice Address - Street 1:4302 ALTON RD STE 470
Practice Address - Street 2:#606
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2842
Practice Address - Country:US
Practice Address - Phone:305-978-1033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-30
Last Update Date:2015-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3347305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service