Provider Demographics
| NPI: | 1154662534 |
|---|---|
| Name: | HEALTH ASSURANCE, INC |
| Entity type: | Organization |
| Organization Name: | HEALTH ASSURANCE, INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | MEDICAL DIRECTOR/PRACTITIONER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | DANA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | COWLES |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DO |
| Authorized Official - Phone: | 407-257-5457 |
| Mailing Address - Street 1: | 1856 ALAQUA DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LONGWOOD |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 32779-3103 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 855-634-2432 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1855 W SR 434 |
| Practice Address - Street 2: | SUITE #233 |
| Practice Address - City: | LONGWOOD |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 32750-5069 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 855-634-2432 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2013-03-08 |
| Last Update Date: | 2013-03-08 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| FL | OS9752 | 207R00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Single Specialty |