Provider Demographics
NPI:1356868657
Name:1 HEALTH & WELLNESS INC
Entity type:Organization
Organization Name:1 HEALTH & WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HANY
Authorized Official - Middle Name:D
Authorized Official - Last Name:GARBEY MACHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-252-9240
Mailing Address - Street 1:2511 W VIRGINIA AVE STE D
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6310
Mailing Address - Country:US
Mailing Address - Phone:813-252-9240
Mailing Address - Fax:813-252-7556
Practice Address - Street 1:2511 W VIRGINIA AVE STE D
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6310
Practice Address - Country:US
Practice Address - Phone:813-252-9240
Practice Address - Fax:813-252-7556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-28
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC11062261Q00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center