HomeNPI Verification

NPI Verification

National Provider Identifier: 1417767518

Active Health Clinic LLC

Organization

Primary Specialty

General Practice

Code: 208D00000X

All Specialties (9)

Health & Wellness Coach

Code: 171400000X

Health Educator

Code: 174H00000X

Family Medicine, Sports Medicine

Code: 207QS0010X

Preventive Medicine, Public Health & General Preventive Medicine

Code: 2083P0901X

General Practice

Code: 208D00000X

Primary

Home Health

Code: 251E00000X

Home Infusion

Code: 251F00000X

Clinic/Center

Code: 261Q00000X

Clinic/Center, Health Services

Code: 261QH0100X

Practice Address

1948 OCEAN RIDGE CIR

VERO BEACH, FL 329632730

Phone: 415-279-0947

NPI Enumeration Date

January 10, 2025

NPI Number

1417767518

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry