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 1043640048

Passport Health Holdings LLC is a Public Health & General Preventive Medicine Physician in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2013.

Licensed in
SC
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3691 Palmetto Point Blvd Ste 301
Myrtle Beach, SC 29588-1202
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 (SC)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X

Record details

NPI number1043640048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Fishburn — Chief Operating Officer · (480) 646-9020
Other names Pph Ohio Llc; Pph Ohio Llc
NPI enumeratedNovember 13, 2013
Last updated in NPPESApril 1, 2022
Certification dateApril 1, 2022
Mailing address668 N 44th St, Suite 100w, Phoenix, AZ 85008-6507

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