Provider Demographics
NPI:1588879829
Name:INTERNATIONAL HEALTH SERVICE INC
Entity type:Organization
Organization Name:INTERNATIONAL HEALTH SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-924-3487
Mailing Address - Street 1:170 S BARFIELD HWY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PAHOKEE
Mailing Address - State:FL
Mailing Address - Zip Code:33476-1868
Mailing Address - Country:US
Mailing Address - Phone:561-924-3487
Mailing Address - Fax:561-924-3492
Practice Address - Street 1:170 S BARFIELD HWY
Practice Address - Street 2:SUITE 108
Practice Address - City:PAHOKEE
Practice Address - State:FL
Practice Address - Zip Code:33476-1868
Practice Address - Country:US
Practice Address - Phone:561-924-3487
Practice Address - Fax:561-924-3492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsGroup - Multi-Specialty