| Divine Destiny Virtual Health | |
|
2631a Nw 41st St Gainesville FL 32606-6628 | |
| (407) 732-2070 | |
| Not Available |
| Full Name | Divine Destiny Virtual Health |
|---|---|
| Speciality | Family Medicine |
| Location | 2631a Nw 41st St, Gainesville, Florida |
| Authorized Official Name and Position | Louella Pritchette (OWNER) |
| Authorized Official Contact | 4077320720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Destiny Virtual Health 2631a Nw 41st St Gainesville FL 32606-6628 Ph: (407) 732-0720 | Divine Destiny Virtual Health 2631a Nw 41st St Gainesville FL 32606-6628 Ph: (407) 732-2070 |
| NPI Number | 1235756313 |
|---|---|
| Provider Enumeration Date | 07/06/2020 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235756313 | NPI | - | NPPES |
| 1104161017 | Other | PA | COMMERCIAL |
| 1104161017 | Other | FL | COMMERCIAL |
| 1104161017 | Medicaid | FL | |
| 1104161017 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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