Provider Demographics
NPI:1679391049
Name:HEALTH 365, LLC
Entity type:Organization
Organization Name:HEALTH 365, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:AQUILES
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA-MENOCAL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-303-6743
Mailing Address - Street 1:15100 SW 89TH AVE
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33176-8061
Mailing Address - Country:US
Mailing Address - Phone:786-303-6743
Mailing Address - Fax:305-428-3680
Practice Address - Street 1:10251 SW 72ND ST STE 106
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2957
Practice Address - Country:US
Practice Address - Phone:786-469-2730
Practice Address - Fax:305-428-3680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care