<Unavail>

LBN: Active Health Clinic Llc
<Unavail> is an health care organization with primary practice located at 1948 Ocean Ridge Cir , Vero Beach FL 32963-2730. The organization recently has 8 registered licenses in different health care specialties including Other Service Providers / Health Educator, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / General Practice, Agencies / Home Health, Agencies / Home Infusion, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Active Health Clinic Llc can be contacted via phone (415) 279-0947, or through Khazalpour, Kassra Michael via phone (415) 279-0947.

Contact Information

Primary practice address
1948 Ocean Ridge Cir Vero Beach FL 32963-2730
Phone: (415) 279-0947
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khazalpour, Kassra Michael MD, MBA
Phone: (415) 279-0947

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Agencies / Home Health 251E00000X
Agencies / Home Infusion 251F00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1417767518
LBN Legal business name Active Health Clinic Llc
DBA Doing business as <Unavail>
Authorized official Khazalpour, Kassra Michael MD, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2025
Last updated Jan 27th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers