Organization Active NPI

Naha Health LLC

  • Clinic/Center
  • Clearwater, FL
National Provider Identifier
1003491408
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NAHA HEALTH LLC
Practice address
13600B Icot Blvd
Clearwater, FL 33760-3703
Phone
(727) 280-0090
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Andrew Robert Pfau
Title
Chief Legal Officer
Phone
(703) 424-4618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

13600B Icot Blvd
Clearwater, FL 33760-3703

Mailing address

13600B Icot Blvd
Clearwater, FL 33760-3703

National Provider Directory

National Provider Directory

Locations

13600 Icot Blvd
#B
Clearwater, FL 33760
Phone (727) 280-0090

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1003491408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13600B ICOT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13600B ICOT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603703",
            "telephone_number": "727-280-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAHA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "PFAU",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "703-424-4618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.