Provider Demographics
NPI:1356919971
Name:HEALTHPOINTE CORP
Entity type:Organization
Organization Name:HEALTHPOINTE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIRNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANDADOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-588-7577
Mailing Address - Street 1:3350 NW 2ND AVE STE B18
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6678
Mailing Address - Country:US
Mailing Address - Phone:561-285-4000
Mailing Address - Fax:866-883-6887
Practice Address - Street 1:3350 NW 2ND AVE STE B18
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6678
Practice Address - Country:US
Practice Address - Phone:561-285-4000
Practice Address - Fax:866-883-6887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty