Provider Demographics
NPI:1801292651
Name:HONOR HEALTH CENTER INC
Entity type:Organization
Organization Name:HONOR HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ PADRINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-464-0462
Mailing Address - Street 1:8700 WEST FLAGLER ST
Mailing Address - Street 2:SUITE 285
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174
Mailing Address - Country:US
Mailing Address - Phone:786-464-0462
Mailing Address - Fax:786-464-0475
Practice Address - Street 1:8700 WEST FLAGLER ST
Practice Address - Street 2:SUITE 285
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174
Practice Address - Country:US
Practice Address - Phone:786-464-0462
Practice Address - Fax:786-464-0475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-06
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty