NPIMap

Organization Active NPI

Health Holdings Company LLC

Doing business as Palm Medical Centers Davenport

  • Clinic/Center
  • Davenport, FL
National Provider Identifier
1417520388
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HEALTH HOLDINGS COMPANY LLC
Doing business as
Palm Medical Centers Davenport
Practice address
127 Ridge Center Dr
Davenport, FL 33837-6401
Phone
(863) 421-7400
Fax
(863) 421-7448
NPI assigned
Jul 20, 2021
Last updated
Sep 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Santiago Moises Martin
Title
Coo
Phone
(305) 913-9441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

127 Ridge Center Dr
Davenport, FL 33837-6401

Mailing address

127 Ridge Center Dr
Davenport, FL 33837-6401
Phone (863) 421-7400

Other names 1

  • Palm Medical Centers Davenport Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palm Medical Center Lakeland LLC36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1417520388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 RIDGE CENTER DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376401",
            "telephone_number": "863-421-7400",
            "fax_number": "863-421-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 RIDGE CENTER DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376401",
            "telephone_number": "863-421-7400",
            "fax_number": "863-421-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH HOLDINGS COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "MOISES MARTIN",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-913-9441"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Medical Centers Davenport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.