A Healthy Place PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

A HEALTHY PLACE PA

Practice address

55 N Old Kings Rd
Suite a
Ormond Beach, FL 32174-9506

Phone

(386) 677-4180

Fax

(386) 677-4430

NPI assigned

Aug 5, 2007

Last updated

Nov 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hezi Cohen, MDNPI 1265427587

Title

Owner

Phone

(386) 677-4180

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hezi Cohen, M.D,

  • Specialist
  • Daytona Beach, FL
  • NPI 1265427587
  NPD (past) Authorized official

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1083805188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N OLD KINGS RD",
            "address_2": "SUITE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749506",
            "telephone_number": "386-677-4180",
            "fax_number": "386-677-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N OLD KINGS RD",
            "address_2": "SUITE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749506",
            "telephone_number": "386-677-4180",
            "fax_number": "386-677-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HEALTHY PLACE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "HEZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-677-4180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• A1 Imaging Centers LLC (Horizon Ormond Beach)
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• ABA Family Medicine, LLC
• Ibrahim Ahmed Abdalla Wafik, M.D.
• Alaa Abdelwahab

• Specialist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.