Dynamic Health Alliance

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DYNAMIC HEALTH ALLIANCE

Practice address

4223 Siderno CT
Naples, FL 34119-9047

Phone

(850) 491-5691

NPI assigned

Mar 3, 2021

Organization subpart

No

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

Authorized official

Name

Sideris S Logothetis

Title

Principal Owner

Phone

(850) 491-5691

Specialties & licenses 1

Addresses

Other names 2

• Dynamic Health Alliance Doing business as
• Logothetis Medical LLC Former legal business name

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1093300923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 SIDERNO CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199047",
            "telephone_number": "850-491-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 SIDERNO CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199047",
            "telephone_number": "850-491-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "LOGOTHETIS",
        "authorized_official_first_name": "SIDERIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRINCIPAL OWNER",
        "authorized_official_telephone_number": "850-491-5691"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Health Alliance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Logothetis Medical LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ma Katrina Dy, M.D.
• Maximilian Dyal, DPT
• Dorothy Kay Dycus, B.S.N. A.R.N.P.
• Diana Dyer, CNM
• Ian Dyer, APRN
• Dynamic Physio Therapy Services, LLC
• Klaudia Dzmurova, LMHC
• E Sean Kelley MD LLC
• E.Y Positive Behavior, Inc
• Allenscott W Eacker, PA

• Durable Medical Equipment & Medical Supplies in Naples, FL
• Providers in Naples, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.