| Healthy Results, Llc | |
|
475 Nw Prima Vista Blvd Port St Lucie FL 34983-8731 | |
| (772) 800-3031 | |
| (772) 807-1409 |
| Full Name | Healthy Results, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 475 Nw Prima Vista Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Dana D Dameron (MANAGING MEMBER) |
| Authorized Official Contact | 7728003037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Results, Llc 475 Nw Prima Vista Blvd Port St Lucie FL 34983-8731 Ph: (772) 800-3031 | Healthy Results, Llc 475 Nw Prima Vista Blvd Port St Lucie FL 34983-8731 Ph: (772) 800-3031 |
| NPI Number | 1578965653 |
|---|---|
| Provider Enumeration Date | 09/21/2014 |
| Last Update Date | 12/09/2020 |
| Medicare PECOS PAC ID | 7113247636 |
|---|---|
| Medicare Enrollment ID | O20150526000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578965653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS11959 (Florida) | Primary |
| Provider Name | Dana Dameron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013242932 PECOS PAC ID: 0143464057 Enrollment ID: I20130916000439 |
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