Provider Demographics
NPI:1881161164
Name:HEALTH NEXUS LLC
Entity type:Organization
Organization Name:HEALTH NEXUS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:EDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-960-8402
Mailing Address - Street 1:PO BOX 2415
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34688-2415
Mailing Address - Country:US
Mailing Address - Phone:866-960-8402
Mailing Address - Fax:
Practice Address - Street 1:3118 GULF TO BAY BLVD STE 226D
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-4553
Practice Address - Country:US
Practice Address - Phone:727-218-1114
Practice Address - Fax:727-218-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health