| Healthy Seniors Medical Holdings Llc | |
|
515 E Las Olas Blvd Ste 120 Ft Lauderdale FL 33301-4261 | |
| (954) 787-8874 | |
| (561) 584-7505 |
| Full Name | Healthy Seniors Medical Holdings Llc |
|---|---|
| Speciality | General Practice |
| Location | 515 E Las Olas Blvd Ste 120, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Christopher J Pettas (CEO) |
| Authorized Official Contact | 5617021299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Seniors Medical Holdings Llc 2199 Ne 5th Ave Boca Raton FL 33431-7610 Ph: (561) 702-1299 | Healthy Seniors Medical Holdings Llc 515 E Las Olas Blvd Ste 120 Ft Lauderdale FL 33301-4261 Ph: (954) 787-8874 |
| NPI Number | 1659976850 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659976850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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