Organization

Passport Health Holdings Llc

May also be knows as Passport Health

Clinic/Center in Virginia Gardens, FL(View on Map)

Legal Business Name

Passport Health Holdings Llc

Also Known As

Passport Health

NPI Number

1003245291

NPI Type

Organization

Enumeration Date

11/07/2013

Specialties

(Taxonomies)

Code

261Q00000X
2083P0901X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

668 N 44TH ST
6355 NW 36TH STREET

City

Phoenix
Virginia Gardens

State

AZ
FL

Postal Code

85008-6507
33166-7009

Country

US
US

Telephone Number

(877) 358-8648
(877) 358-8648

Authorized Official

Name

Mr. Paul Fishburn

Title or Position

CHIEF OPERATING OFFICER

Telephone Number

(480) 646-9020

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/01/2022

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