| Ubuntu Integrative Health Llc | |
|
125 S State Road 7 Ste 104-342 Wellington FL 33414-4385 | |
| (561) 289-4642 | |
| (561) 257-1154 |
| Full Name | Ubuntu Integrative Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 S State Road 7 Ste 104-342, Wellington, Florida |
| Authorized Official Name and Position | Shannon Mae Mitchell (CEO) |
| Authorized Official Contact | 5617897771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ubuntu Integrative Health Llc 125 S State Road 7 Ste 104-342 Wellington FL 33414-4385 Ph: (561) 289-4642 | Ubuntu Integrative Health Llc 125 S State Road 7 Ste 104-342 Wellington FL 33414-4385 Ph: (561) 289-4642 |
| NPI Number | 1295386571 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 05/09/2024 |
| Medicare PECOS PAC ID | 0042645442 |
|---|---|
| Medicare Enrollment ID | O20200113001749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295386571 | NPI | - | NPPES |
| 103700600 | Medicaid | FL |
| Provider Name | Mark Paris |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174548226 PECOS PAC ID: 6002896875 Enrollment ID: I20040722000397 |
| Provider Name | Shannon Mae Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376037374 PECOS PAC ID: 1456693100 Enrollment ID: I20190605000579 |
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