| 1 Health & Wellness Inc | |
|
2511 W Virginia Ave Ste D Tampa FL 33607-6310 | |
| (813) 252-9240 | |
| (813) 252-7556 |
| Full Name | 1 Health & Wellness Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2511 W Virginia Ave Ste D, Tampa, Florida |
| Authorized Official Name and Position | Hany D Garbey Machin (PRESIDENT) |
| Authorized Official Contact | 8132529240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 1 Health & Wellness Inc 2511 W Virginia Ave Ste D Tampa FL 33607-6310 Ph: (813) 252-9240 | 1 Health & Wellness Inc 2511 W Virginia Ave Ste D Tampa FL 33607-6310 Ph: (813) 252-9240 |
| NPI Number | 1356868657 |
|---|---|
| Provider Enumeration Date | 08/28/2017 |
| Last Update Date | 06/29/2021 |
| Medicare PECOS PAC ID | 9638577414 |
|---|---|
| Medicare Enrollment ID | O20211008000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356868657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC11062 (Florida) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Livino A Lora Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467400408 PECOS PAC ID: 0648395244 Enrollment ID: I20170127000622 |
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