| Hatu Holdings Llc | |
|
13787 Belcher Rd S Ste 140 Largo FL 33771-4065 | |
| (727) 518-7294 | |
| Not Available |
| Full Name | Hatu Holdings Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13787 Belcher Rd S Ste 140, Largo, Florida |
| Authorized Official Name and Position | Suzanne Miller (NURSE PRACTITIONER) |
| Authorized Official Contact | 7274243876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hatu Holdings Llc 13787 Belcher Rd S Ste 140 Largo FL 33771-4065 Ph: (727) 518-7294 | Hatu Holdings Llc 13787 Belcher Rd S Ste 140 Largo FL 33771-4065 Ph: (727) 518-7294 |
| NPI Number | 1962279547 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 12/05/2023 |
| Medicare PECOS PAC ID | 4688017767 |
|---|---|
| Medicare Enrollment ID | O20240206000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962279547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Suzanne Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730952474 PECOS PAC ID: 8729421813 Enrollment ID: I20240206001793 |
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