| Idina Health, Inc. | |
|
8481 Siciliano St Boynton Beach FL 33472-7168 | |
| (561) 702-8403 | |
| Not Available |
| Full Name | Idina Health, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 8481 Siciliano St, Boynton Beach, Florida |
| Authorized Official Name and Position | Henry Lavon Hall (PRESIDENT) |
| Authorized Official Contact | 5617028403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idina Health, Inc. 8927 Hypoluxo Rd # A-118 Lake Worth FL 33467-5262 Ph: (562) 702-8403 | Idina Health, Inc. 8481 Siciliano St Boynton Beach FL 33472-7168 Ph: (561) 702-8403 |
| NPI Number | 1528776705 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 11/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528776705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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