Organization
HYPERBARIC HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MCCALLA (OWNER)
(954) 592-4961
Entity
Organization
Contact information
Practice address
12794 FOREST HILL BLVD STE 9-10, WELLINGTON, FL 33414-4710
(954) 592-4961
Mailing address
12794 FOREST HILL BLVD STE 9-10, WELLINGTON, FL 33414-4710
(954) 592-4961
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
07/20/2023
Last updated
11/06/2023
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