Provider Demographics
NPI:1992514632
Name:NEIGHBORHOOD HEALTH LLC
Entity type:Organization
Organization Name:NEIGHBORHOOD HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRACIELA
Authorized Official - Middle Name:V
Authorized Official - Last Name:VICTORERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-402-6461
Mailing Address - Street 1:5730 SW 74TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5300
Mailing Address - Country:US
Mailing Address - Phone:786-953-2971
Mailing Address - Fax:
Practice Address - Street 1:21073 POWERLINE RD STE 35
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-2306
Practice Address - Country:US
Practice Address - Phone:786-953-2971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center