| Affinity Health & Wellness Llc | |
|
13302 Winding Oak Court Suite A Tampa FL 33612 | |
| (813) 580-2268 | |
| Not Available |
| Full Name | Affinity Health & Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13302 Winding Oak Court, Tampa, Florida |
| Authorized Official Name and Position | Carlos M Mujica (OWNER) |
| Authorized Official Contact | 8135802268 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Health & Wellness Llc 13302 Winding Oak Ct Ste A Tampa FL 33612-3425 Ph: (813) 580-2268 | Affinity Health & Wellness Llc 13302 Winding Oak Court Suite A Tampa FL 33612 Ph: (813) 580-2268 |
| NPI Number | 1114602448 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/20/2023 |
| Medicare PECOS PAC ID | 8426496779 |
|---|---|
| Medicare Enrollment ID | O20240404003366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114602448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Carlos Mario Mujica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265191803 PECOS PAC ID: 8022458645 Enrollment ID: I20240430002969 |
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