Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Passport Health Holdings LLC

Organization Public Health & General Preventive Medicine Physician · NPI 1003245291

Passport Health Holdings LLC is a Public Health & General Preventive Medicine Physician in Virginia Gardens, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6355 NW 36th St Ste 600
Virginia Gardens, FL 33166-7009
Phone: (877) 358-8648
Fax: (877) 877-6875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X
Clinic/Center Taxonomy 261Q00000X (FL)

Record details

NPI number1003245291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Fishburn — Chief Operating Officer · (480) 646-9020
Other names Passport Health
NPI enumeratedNovember 7, 2013
Last updated in NPPESApril 1, 2022
Certification dateApril 1, 2022
Mailing address668 N 44th St, Suite 100w, Phoenix, AZ 85008-6507