| Holistic Medical Care Clinic Llc | |
|
400 Frandorson Cir Ste 103 Apollo Beach FL 33572-2688 | |
| (813) 398-0470 | |
| Not Available |
| Full Name | Holistic Medical Care Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Frandorson Cir Ste 103, Apollo Beach, Florida |
| Authorized Official Name and Position | Nataliya Sia (NURSE PRACTITIONER) |
| Authorized Official Contact | 8133980470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Medical Care Clinic Llc 400 Frandorson Cir Ste 103 Apollo Beach FL 33572-2688 Ph: (813) 398-0470 | Holistic Medical Care Clinic Llc 400 Frandorson Cir Ste 103 Apollo Beach FL 33572-2688 Ph: (813) 398-0470 |
| NPI Number | 1154750735 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 02/24/2016 |
| Medicare PECOS PAC ID | 7214163047 |
|---|---|
| Medicare Enrollment ID | O20131126000784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154750735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | George B Rucker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629009089 PECOS PAC ID: 3870486558 Enrollment ID: I20070119000163 |
| Provider Name | Nataliya Sia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720328891 PECOS PAC ID: 8123254950 Enrollment ID: I20131126000823 |
| Provider Name | Sunny Sia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760842280 PECOS PAC ID: 5092012781 Enrollment ID: I20160323001810 |
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