Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Passport Health Holdings, LLC

Public Health & General Preventive Medicine Physician in Tallahassee, FL · enumerated 2018 · authorized official Doug Shackell, Director of Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1972085587

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Passport Health Holdings, LLC

Other name <Unavail>

Practice address 3375 E. Capital Circle Ne Bldg E, Suite 3, Tallahassee, FL, 32308

Phone (877) 358-8648

Fax (877) 877-6875

Enumeration date Aug 30, 2018

Last updated in NPPES Jul 30, 2019

Taxonomy & classification

2083P0901X Public Health & General Preventive Medicine Physician Allopathic & Osteopathic Physicians Primary

261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Doug Shackell

Title Director of Finance

Phone (480) 646-9024

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-07-30. Verify at npiregistry.cms.hhs.gov.

Where is Passport Health Holdings, LLC located?

The practice location on file with NPPES is in Tallahassee, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-07-30.