Omega Integrative Care | |
910 Old Camp Rd Ste 112 The Villages FL 32162-5605 | |
(352) 240-1471 | |
Not Available |
Full Name | Omega Integrative Care |
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Speciality | Clinic/Center |
Location | 910 Old Camp Rd Ste 112, The Villages, Florida |
Authorized Official Name and Position | Sarah Tate (OWNER) |
Authorized Official Contact | 3525729016 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Omega Integrative Care 11220 Hess Way Oxford FL 34484-3474 Ph: (352) 572-9016 | Omega Integrative Care 910 Old Camp Rd Ste 112 The Villages FL 32162-5605 Ph: (352) 240-1471 |
NPI Number | 1780403964 |
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Provider Enumeration Date | 10/07/2024 |
Last Update Date | 10/07/2024 |
Medicare PECOS PAC ID | 0345774006 |
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Medicare Enrollment ID | O20241118001463 |
Identifier | Type | State | Issuer |
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1780403964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Sarah J Tate |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740715911 PECOS PAC ID: 2466704697 Enrollment ID: I20181016002001 |
Provider Name | Vickie J Hodges |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275151227 PECOS PAC ID: 9335563428 Enrollment ID: I20200722001879 |
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