# IDINA HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Idina Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528776705
- **Authorized official:** MR. HENRY LAVON HALL (PRESIDENT)
- **Authorized official phone:** (561) 702-8403

## Contact information

- **Practice address:** 8481 SICILIANO ST, BOYNTON BEACH, FL 33472-7168
- **Practice address phone:** (561) 702-8403
- **Mailing address:** 8927 HYPOLUXO RD \# A-118, LAKE WORTH, FL 33467-5262
- **Mailing address phone:** (562) 702-8403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2022
- **Last updated:** 11/07/2022