Interra Health, Inc | |
4553 Pleasant Hill Rd Kissimmee FL 34759-3422 | |
(407) 483-5757 | |
(855) 642-2122 |
Full Name | Interra Health, Inc |
---|---|
Speciality | Clinic/center |
Location | 4553 Pleasant Hill Rd, Kissimmee, Florida |
Authorized Official Name and Position | Michelle D Ruth (IMPLEMENTATION & TRAINING COORD) |
Authorized Official Contact | 2623302827 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Interra Health, Inc 8919 W Heather Ave Milwaukee WI 53224-2417 Ph: (262) 330-2827 | Interra Health, Inc 4553 Pleasant Hill Rd Kissimmee FL 34759-3422 Ph: (407) 483-5757 |
NPI Number | 1730788092 |
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Provider Enumeration Date | 10/19/2020 |
Last Update Date | 10/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730788092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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