| Novis Vita Llc | |
|
2122 N Craycroft Rd Ste 120 Tucson AZ 85712-2829 | |
| (520) 502-6362 | |
| Not Available |
| Full Name | Novis Vita Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2122 N Craycroft Rd Ste 120, Tucson, Arizona |
| Authorized Official Name and Position | Cedric Mfuranzima (ADMINISTRATOR) |
| Authorized Official Contact | 2076508140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novis Vita Llc 2122 N Craycroft Rd Ste 120 Tucson AZ 85712-2829 Ph: (520) 502-6362 | Novis Vita Llc 2122 N Craycroft Rd Ste 120 Tucson AZ 85712-2829 Ph: (520) 502-6362 |
| NPI Number | 1083396592 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Medicare PECOS PAC ID | 6103265764 |
|---|---|
| Medicare Enrollment ID | O20240415003818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083396592 | NPI | - | NPPES |
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