Health Associates, LLC
Organization Active NPI Internal Medicine Physician · Pembroke Pines, FL
NPI 1164041711 · NPPES record last updated Apr 26, 2021
Key facts
- NPI
- 1164041711
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- HEALTH ASSOCIATES, LLC
- Practice address
- 2295 N University Dr
Pembroke Pines, FL 33024-3611 - Phone
- (954) 932-0132
- Fax
- (954) 932-0133
- NPI assigned
- Apr 14, 2020
- Organization subpart
- No
Authorized official
- Name
- Calvin C Higgins, MD
- Title
- Owner
- Phone
- (954) 932-0132
Practitioners 7
-
Marlene C Chance, APRN, MSN, PHD, EJD
-
Manuel D Gonzalez, M.D.
-
Calvin C Higgins, MD
-
Vitia Angela Pack, PA-C
-
Alicia Rodriguez-Jorge, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2183594 | Health Associates, LLC | Certificate of waiver | May 6, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210413000717 | FL | Part B Supplier - Clinic/Group Practice | 6204244254 |
Receives reassigned benefits from 6 practitioners Practice locations: Pembroke Pines, FL |
National Provider Directory
Locations
2295 N University Dr
Pembroke Pines, FL 33024
Phone (954) 932-0132
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
2295 N University Dr
Pembroke Pines, FL 33024-3611
Mailing address
2295 N University Dr
Pembroke Pines, FL 33024-3611
Phone (954) 932-0132
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | DataLink | Other |
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All providers in Pembroke Pines, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.