| Embracing Life Wellness Center, Pa | |
|
6332 Us Highway 301 S Riverview FL 33578-3829 | |
| (813) 662-5919 | |
| (813) 671-8374 |
| Full Name | Embracing Life Wellness Center, Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6332 Us Highway 301 S, Riverview, Florida |
| Authorized Official Name and Position | Melissa Dawn Fickey (CEO) |
| Authorized Official Contact | 8136625919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embracing Life Wellness Center, Pa 6332 Us Highway 301 S Riverview FL 33578-3829 Ph: (813) 662-5919 | Embracing Life Wellness Center, Pa 6332 Us Highway 301 S Riverview FL 33578-3829 Ph: (813) 662-5919 |
| NPI Number | 1083063176 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 06/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083063176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME96297 (Florida) | Primary |
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