| Integrative Health | |
|
17724 Hunting Bow Cir Ste 101 Lutz FL 33558-5382 | |
| (469) 420-0085 | |
| Not Available |
| Full Name | Integrative Health |
|---|---|
| Speciality | Family Medicine |
| Location | 17724 Hunting Bow Cir Ste 101, Lutz, Florida |
| Authorized Official Name and Position | Nestor Zenarosa (AO) |
| Authorized Official Contact | 4694205527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Health Po Box 35674 Belfast ME 04915-0634 Ph: (469) 420-5527 | Integrative Health 17724 Hunting Bow Cir Ste 101 Lutz FL 33558-5382 Ph: (469) 420-0085 |
| NPI Number | 1760186217 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 06/08/2023 |
| Medicare PECOS PAC ID | 7113384256 |
|---|---|
| Medicare Enrollment ID | O20230606001608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760186217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert G Ashley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275649766 PECOS PAC ID: 3779608567 Enrollment ID: I20100916001019 |
| Provider Name | David J Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295756682 PECOS PAC ID: 3870767999 Enrollment ID: I20111129000294 |
| Provider Name | Elizabeth C Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811926363 PECOS PAC ID: 0345396636 Enrollment ID: I20120126000411 |
| Provider Name | Thais Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861783631 PECOS PAC ID: 8325313919 Enrollment ID: I20171007000158 |
| Provider Name | Andres E Santayana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346775848 PECOS PAC ID: 0446526248 Enrollment ID: I20200512001738 |
| Provider Name | Raquel Lee Beauchamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538887146 PECOS PAC ID: 0547644643 Enrollment ID: I20220908000598 |
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