Provider Demographics
NPI:1306421839
Name:FOR YOUR HEALTH HOLISTICS & PREVENTATIVE CARE PLLC
Entity type:Organization
Organization Name:FOR YOUR HEALTH HOLISTICS & PREVENTATIVE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL PAIGE
Authorized Official - Middle Name:CHRISTINA
Authorized Official - Last Name:MCGHIE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:305-439-1032
Mailing Address - Street 1:21409 NW 13TH CT APT 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-7421
Mailing Address - Country:US
Mailing Address - Phone:754-251-9222
Mailing Address - Fax:
Practice Address - Street 1:21409 NW 13TH CT APT 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-7421
Practice Address - Country:US
Practice Address - Phone:754-251-9222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care