| Coral West Health Inc | |
|
11011 Sheridan St Ste 205 Hollywood FL 33026-1531 | |
| (954) 404-6430 | |
| (954) 404-6362 |
| Full Name | Coral West Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11011 Sheridan St Ste 205, Hollywood, Florida |
| Authorized Official Name and Position | Ashley Singh (PRESIDENT) |
| Authorized Official Contact | 9544046430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral West Health Inc 11011 Sheridan St Ste 205 Hollywood FL 33026-1531 Ph: (954) 404-6430 | Coral West Health Inc 11011 Sheridan St Ste 205 Hollywood FL 33026-1531 Ph: (954) 404-6430 |
| NPI Number | 1003580135 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/03/2021 |
| Medicare PECOS PAC ID | 4385033380 |
|---|---|
| Medicare Enrollment ID | O20211112001411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003580135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Humberto Lozano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184798126 PECOS PAC ID: 7214949478 Enrollment ID: I20061228000267 |
| Provider Name | Luis F Roa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174678775 PECOS PAC ID: 3971505264 Enrollment ID: I20070215000721 |
| Provider Name | Gloria M Grajales |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043522691 PECOS PAC ID: 1456646975 Enrollment ID: I20160823002582 |
| Provider Name | Emily Achong |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780391300 PECOS PAC ID: 6800265331 Enrollment ID: I20221206000599 |
| Provider Name | Luz Stella Molina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598994832 PECOS PAC ID: 7315319209 Enrollment ID: I20230201002654 |
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