Organization
IDINA HEALTH, INC.
Active
Other names
Idina Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY LAVON HALL (PRESIDENT)
(561) 702-8403
Entity
Organization
Contact information
Practice address
8481 SICILIANO ST, BOYNTON BEACH, FL 33472-7168
(561) 702-8403
Mailing address
8927 HYPOLUXO RD # A-118, LAKE WORTH, FL 33467-5262
(562) 702-8403
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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