Numinous Health | |
1512 Sea Gull Dr S St Petersburg FL 33707-3837 | |
(727) 732-0288 | |
Not Available |
Full Name | Numinous Health |
---|---|
Speciality | Family Medicine |
Location | 1512 Sea Gull Dr S, St Petersburg, Florida |
Authorized Official Name and Position | Kyla Heusner (OWNER) |
Authorized Official Contact | 7277320288 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Numinous Health 1512 Sea Gull Dr S St Petersburg FL 33707-3837 Ph: () - | Numinous Health 1512 Sea Gull Dr S St Petersburg FL 33707-3837 Ph: (727) 732-0288 |
NPI Number | 1275351124 |
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Provider Enumeration Date | 09/30/2024 |
Last Update Date | 09/30/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275351124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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