Innovaheal, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

INNOVAHEAL, LLC

Practice address

3023 SW 141St Ter
Davie, FL 33330-4678

Phone

(954) 647-4259

Fax

(954) 647-4259

NPI assigned

Aug 15, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Michael Patrick Lynch

Title

Manager

Phone

(954) 647-4259

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1786752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786752000000",
    "number": "1679488621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 SW 141ST TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304678",
            "telephone_number": "954-647-4259",
            "fax_number": "954-647-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 SW 141ST TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304678",
            "telephone_number": "954-647-4259",
            "fax_number": "954-647-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVAHEAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-15",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-647-4259",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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.