| Specialized Care Initiative Pllc | |
|
8348 Little Rd Ste 149 New Port Richey FL 34654-4919 | |
| (855) 232-0644 | |
| Not Available |
| Full Name | Specialized Care Initiative Pllc |
|---|---|
| Speciality | Nurse Practitioner - Adult Health |
| Location | 8348 Little Rd Ste 149, New Port Richey, Florida |
| Authorized Official Name and Position | Jeffrey Wacksman (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8552320644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Care Initiative Pllc 8348 Little Road Ste 149 New Port Richey FL 34654-4919 Ph: (855) 232-0644 | Specialized Care Initiative Pllc 8348 Little Rd Ste 149 New Port Richey FL 34654-4919 Ph: (855) 232-0644 |
| NPI Number | 1255179743 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255179743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Primary |
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