| Holistic Health & Medical, Inc. | |
|
14750 Nw 77th Ct Ste 114 Miami Lakes FL 33016-1507 | |
| (786) 536-8411 | |
| Not Available |
| Full Name | Holistic Health & Medical, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 14750 Nw 77th Ct Ste 114, Miami Lakes, Florida |
| Authorized Official Name and Position | Orlando Vijay Walter (DPT) |
| Authorized Official Contact | 7865368411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Health & Medical, Inc. 14750 Nw 77th Ct Ste 114 Miami Lakes FL 33016-1507 Ph: (786) 536-8411 | Holistic Health & Medical, Inc. 14750 Nw 77th Ct Ste 114 Miami Lakes FL 33016-1507 Ph: (786) 536-8411 |
| NPI Number | 1376118299 |
|---|---|
| Provider Enumeration Date | 05/24/2021 |
| Last Update Date | 05/17/2023 |
| Medicare PECOS PAC ID | 8123410933 |
|---|---|
| Medicare Enrollment ID | O20220127001585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376118299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Orlando V. Walters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073804894 PECOS PAC ID: 1052599420 Enrollment ID: I20141229000734 |
| Provider Name | Marlen Rubiera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528690609 PECOS PAC ID: 3476945288 Enrollment ID: I20220127001681 |
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