| P3 Health Partners-florida Llc | |
|
13501 Icot Blvd Ste 114 Clearwater FL 33760-3729 | |
| (727) 754-7880 | |
| (727) 754-7885 |
| Full Name | P3 Health Partners-florida Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 13501 Icot Blvd Ste 114, Clearwater, Florida |
| Authorized Official Name and Position | Beverly Dendary (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 7029103950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P3 Health Partners-florida Llc 2370 Corporate Cir Ste 300 Henderson NV 89074-7760 Ph: (702) 910-3950 | P3 Health Partners-florida Llc 13501 Icot Blvd Ste 114 Clearwater FL 33760-3729 Ph: (727) 754-7880 |
| NPI Number | 1205549029 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 12/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205549029 | NPI | - | NPPES |
| 108887000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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