Provider Demographics
NPI:1841817038
Name:APOLLO HEALTH NETWORK INC.
Entity type:Organization
Organization Name:APOLLO HEALTH NETWORK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP CLINICS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-224-5832
Mailing Address - Street 1:1116 ASTURIA AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4734
Mailing Address - Country:US
Mailing Address - Phone:800-782-3740
Mailing Address - Fax:
Practice Address - Street 1:1116 ASTURIA AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4734
Practice Address - Country:US
Practice Address - Phone:800-782-3740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-03
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center