Passport Health Holdings LLC
NPI #1003245291 in Virginia Gardens, Florida
Provider Information
- NPI Number
- 1003245291
- Entity Type
- Organization
- Organization Name
- Passport Health Holdings LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 7, 2013
- Last Updated
- Apr 1, 2022
Practice Location
- Address
- 6355 NW 36TH STREET
- Address 2
- SUITE 600
- City
- Virginia Gardens
- State
- Florida
- ZIP Code
- 33166-7009
- Phone
- (877) 358-8648
Authorized Official
- Name
- MR. PAUL FISHBURN
- Title
- CHIEF OPERATING OFFICER
- Phone
- (480) 646-9020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Preventive Medicine - Public Health & General Preventive Medicine — Public Health & General Preventive Medicine |
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