Provider Demographics
NPI:1396355822
Name:HDAP, LLC
Entity type:Organization
Organization Name:HDAP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ELIAS
Authorized Official - Last Name:MARGOLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:924-285-2019
Mailing Address - Street 1:35 EXECUTIVE WAY STE 110
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-2788
Mailing Address - Country:US
Mailing Address - Phone:904-285-2019
Mailing Address - Fax:904-285-2779
Practice Address - Street 1:35 EXECUTIVE WAY STE 110
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-2788
Practice Address - Country:US
Practice Address - Phone:904-285-2019
Practice Address - Fax:904-285-2779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty