| Integrative Direct Care | |
|
2901 1st Ave N Ste 301 St Petersburg FL 33713-8640 | |
| (727) 317-6549 | |
| Not Available |
| Full Name | Integrative Direct Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2901 1st Ave N Ste 301, St Petersburg, Florida |
| Authorized Official Name and Position | Amar Talati (MANAGER) |
| Authorized Official Contact | 2052678653 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Direct Care 2901 1st Ave N Ste 301 St Petersburg FL 33713-8640 Ph: () - | Integrative Direct Care 2901 1st Ave N Ste 301 St Petersburg FL 33713-8640 Ph: (727) 317-6549 |
| NPI Number | 1336667187 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 08/31/2017 |
| Medicare PECOS PAC ID | 1254607161 |
|---|---|
| Medicare Enrollment ID | O20171020001458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336667187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Amar Talati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457640039 PECOS PAC ID: 7012151608 Enrollment ID: I20160804000767 |
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