Provider Demographics
NPI:1063715589
Name:HESPERIDES HEALTH PLLC
Entity type:Organization
Organization Name:HESPERIDES HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:ROLAND
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-682-6817
Mailing Address - Street 1:5986 S TOLCATE WOODS LN
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-1536
Mailing Address - Country:US
Mailing Address - Phone:801-682-6817
Mailing Address - Fax:801-206-3616
Practice Address - Street 1:5986 S TOLCATE WOODS LN
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84121-1536
Practice Address - Country:US
Practice Address - Phone:801-682-6817
Practice Address - Fax:801-206-3616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty