Provider Demographics
NPI:1457896748
Name:UNITED MED AND HEALTH NETWORK, LLC
Entity Type:Organization
Organization Name:UNITED MED AND HEALTH NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HARWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-306-8794
Mailing Address - Street 1:11471 W SAMPLE RD
Mailing Address - Street 2:SUITE #34
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-2696
Mailing Address - Country:US
Mailing Address - Phone:954-363-0323
Mailing Address - Fax:
Practice Address - Street 1:11471 W SAMPLE RD
Practice Address - Street 2:SUITE #34
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-2696
Practice Address - Country:US
Practice Address - Phone:954-363-0323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-22
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization