| Top Medspa & Clinic | |
|
2768 W Lake Mary Blvd Lake Mary FL 32746-3524 | |
| (321) 230-6043 | |
| (321) 234-0229 |
| Full Name | Top Medspa & Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2768 W Lake Mary Blvd, Lake Mary, Florida |
| Authorized Official Name and Position | Jonathan Peach (PROVIDER) |
| Authorized Official Contact | 4078783208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Top Medspa & Clinic 2768 W Lake Mary Blvd Lake Mary FL 32746-3524 Ph: (407) 878-3208 | Top Medspa & Clinic 2768 W Lake Mary Blvd Lake Mary FL 32746-3524 Ph: (321) 230-6043 |
| NPI Number | 1659090694 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 8729451935 |
|---|---|
| Medicare Enrollment ID | O20230308001532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659090694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jonathan Peach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316375041 PECOS PAC ID: 9335366111 Enrollment ID: I20140819001619 |
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