| Interra Health Inc. | |
|
831 Simpson Rd Kissimmee FL 34744-5328 | |
| (407) 483-5757 | |
| (407) 483-5756 |
| Full Name | Interra Health Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 831 Simpson Rd, Kissimmee, Florida |
| Authorized Official Name and Position | Michelle D Ruth (IMPLEMENTATION & TRAINING COORD) |
| Authorized Official Contact | 2623752827 |
| 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: (414) 375-1600 | Interra Health Inc. 831 Simpson Rd Kissimmee FL 34744-5328 Ph: (407) 483-5757 |
| NPI Number | 1760035513 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 07/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760035513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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