Provider Demographics
NPI:1891522652
Name:CALFA HEALTH IT SOLUTION LLC
Entity type:Organization
Organization Name:CALFA HEALTH IT SOLUTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIPPE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:410-807-2372
Mailing Address - Street 1:10330 WATERSIDE CT
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-2879
Mailing Address - Country:US
Mailing Address - Phone:410-807-2372
Mailing Address - Fax:
Practice Address - Street 1:2139 N UNIVERSITY DR STE 2256
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6134
Practice Address - Country:US
Practice Address - Phone:410-807-2372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No261QM1000XAmbulatory Health Care FacilitiesClinic/CenterMigrant Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No282E00000XHospitalsLong Term Care Hospital
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1881266526OtherNPPES