Passport Health Holdings, LLC
Community Health Worker in Brandon, FL. Organization (NPI-2).
NPI number1033065321
StatusActive
Last updated in NPPESMar 9, 2026
Details
- NPI
- 1033065321
- Entity type
- Organization (NPI-2)
- Legal business name
- Passport Health Holdings, LLC
- Organization subpart
- No
- Enumeration date
- Mar 9, 2026
- Last updated
- Mar 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1044 E Brandon Blvd#8
Brandon, FL 33511
Phone 877-358-8648 · Fax 877-877-6875
Mailing address
4343 East Outlier BlvdSuite 100w
Phoenix, AZ 85008-6507
Phone 877-358-8648 · Fax 877-877-6875
Authorized official
Juana Slack
Medical Billing Specialist
4806469086
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Other Community Health Worker providers in Brandon, FL
- Alexander Vincent CicconeNPI 1477033504
- Tricia HarveyNPI 1508657255
- Nakeeta MooreNPI 1952794364
- Justice Marie-Monae Walker, RTCNPI 1366922494
All 5 Community Health Worker providers in Brandon · All 4,834 providers in Brandon
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