Restoring Wellness Primary Care Llc

LBN: Restoring Wellness Primary Care Llc
Restoring Wellness Primary Care Llc is an health care organization with primary practice located at 10597 Us Highway 19 N , Pinellas Park FL 33782-3413. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Restoring Wellness Primary Care Llc can be contacted via phone (727) 351-1700, or through Mickey, Jaimie Lousie via phone (813) 362-5748.

Contact Information

Primary practice address
10597 Us Highway 19 N Pinellas Park FL 33782-3413
Phone: (727) 351-1700
Fax: (727) 351-1701
Website:
Map and Directions
Authorized official contact:
Name: Mickey, Jaimie Lousie Doctor of Medicine (MD)
Phone: (813) 362-5748

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X ME103083 Florida

Profile Details

NPI number 1467977827
LBN Legal business name Restoring Wellness Primary Care Llc
DBA Doing business as
Authorized official Mickey, Jaimie Lousie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2017
Last updated Oct 11th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467977827 NPPES
Florida MEDICAID 000994100

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