Provider Demographics
NPI:1144839325
Name:NOVO HEALTH SOLUTIONS INC
Entity type:Organization
Organization Name:NOVO HEALTH SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIELYS
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:INGLES DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:305-781-6286
Mailing Address - Street 1:4265 NE 16TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-6033
Mailing Address - Country:US
Mailing Address - Phone:305-781-6286
Mailing Address - Fax:
Practice Address - Street 1:6705 SW 57TH AVE STE 510
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3644
Practice Address - Country:US
Practice Address - Phone:305-850-9103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty