PALM MEDICAL CENTERS DAVENPORT
NPI 1417520388
Clinic/Center in Davenport, FL

Q: What is Health Holdings Company LLC's NPI number?

The NPI number for Health Holdings Company LLC is 1417520388. It was assigned to this organization in the NPPES registry on July 20, 2021. The provider is doing business as Palm Medical Centers Davenport.

Q: What is Health Holdings Company LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since July 20, 2021

127 RIDGE CENTER DR, DAVENPORT, FL 33837(863) 421-7400(863) 421-7448 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2021, Jul 20, 2021 (2 updates tracked since 2021).

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About Palm Medical Centers Davenport NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALM MEDICAL CENTERS DAVENPORT (NPI 1417520388) is a healthcare organization registered as a clinic/center in Davenport, Florida and active in the NPI registry since July 2021. The organization lists Santiago Moises Martin, Coo, as its authorized official.

NPPES Registry Identity

NPI1417520388

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameHEALTH HOLDINGS COMPANY LLC

Location Address127 RIDGE CENTER DRDavenport, FL 33837-6401

Mailing Address127 Ridge Center DrDavenport, FL 33837-6401 · (863) 421-7400 · Fax (863) 421-7448

Phone(863) 421-7400

Fax(863) 421-7448

Organization SubpartNo

Authorized OfficialSantiago Moises MartinCoo · (305) 913-9441

Enumeration DateJuly 20, 2021

Last NPPES UpdateSeptember 22, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2021

✔ NPI 1417520388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedInternal MedicineTaxonomy 207R00000X

127 RIDGE CENTER DR, Davenport, FL 33837

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Other Names 1

Doing Business AsPalm Medical Centers Davenport

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2152078

Palm Medical Center - Davenport · Davenport, FL

Expired · Aug 1, 2026

CLIA Number10D2152078

Laboratory TypePhysician Office

Certificate Effective DateAugust 2, 2024

Certificate Expiration DateAugust 1, 2026

Laboratory DirectorLiani M. Aquino Robles

Laboratory Phone(863) 682-0846

Laboratory LocationPalm Medical Center - Davenport127 Ridge Center Dr, Davenport, FL 33837

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MARIANNETTE PLAZA NP

Nurse Practitioner