| Inspired Functional Medicine | |
|
330 S Line Ave Inverness FL 34452-4606 | |
| (352) 444-9868 | |
| (352) 358-2966 |
| Full Name | Inspired Functional Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 330 S Line Ave, Inverness, Florida |
| Authorized Official Name and Position | Robin Holloway (OWNER) |
| Authorized Official Contact | 3526130997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspired Functional Medicine 2349 N Lecanto Hwy Unit B Lecanto FL 34461-6102 Ph: (352) 444-9868 | Inspired Functional Medicine 330 S Line Ave Inverness FL 34452-4606 Ph: (352) 444-9868 |
| NPI Number | 1700518818 |
|---|---|
| Provider Enumeration Date | 06/28/2022 |
| Last Update Date | 05/14/2024 |
| Medicare PECOS PAC ID | 2163897265 |
|---|---|
| Medicare Enrollment ID | O20230403001246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700518818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Robin R Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629468400 PECOS PAC ID: 4183050479 Enrollment ID: I20200205000465 |
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