OrganizationHigley Park Integrated Health Group LlcFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1355 S Higley Rd Ste 102, Gilbert, AZ 85296-4799(480) 892-0022PECOS EnrollmentBased on the most recent information from CMS, provider Higley Park Integrated Health Group Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1295391324Provider TypeOrganizationFull NameHigley Park Integrated Health Group LlcSubpartNoEnumeration Date5/14/2019Last Updated5/14/2019Contact InformationPractice LocationPractice Address1355 S Higley Rd Ste 102, Gilbert, AZ 85296-4799Phone(480) 892-0022FaxUnlisted FaxMailing LocationMailing Address1355 S Higley Rd Ste 102, Gilbert, AZ 85296-4799PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNamePivonka, Anthony (Member/Manager)Phone(480) 892-0022Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer