| Instic Health Llc | |
|
105 N Alexander St Ste 105 Plant City FL 33563-4831 | |
| (813) 755-7300 | |
| (833) 905-0111 |
| Full Name | Instic Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 105 N Alexander St Ste 105, Plant City, Florida |
| Authorized Official Name and Position | Siddharth Patel (OWNER) |
| Authorized Official Contact | 8137557300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Instic Health Llc 105 N Alexander St Ste 105 Plant City FL 33563-4831 Ph: (813) 755-7300 | Instic Health Llc 105 N Alexander St Ste 105 Plant City FL 33563-4831 Ph: (813) 755-7300 |
| NPI Number | 1811519234 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 09/08/2022 |
| Certification Date | 09/08/2022 |
| Medicare PECOS PAC ID | 2365850468 |
|---|---|
| Medicare Enrollment ID | O20210408001837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811519234 | NPI | - | NPPES |
| 111280000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Pragneshkumar P Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104141423 PECOS PAC ID: 5294959045 Enrollment ID: I20160502000495 |
| Provider Name | Nusrat M Bangash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831632116 PECOS PAC ID: 6305180928 Enrollment ID: I20181207000678 |
| Provider Name | Tammie Marie Leydig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558747105 PECOS PAC ID: 1658671474 Enrollment ID: I20190226001417 |
| Provider Name | Kristine Keene-heth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902383110 PECOS PAC ID: 9436581758 Enrollment ID: I20191107000428 |
| Provider Name | Patricia Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528600236 PECOS PAC ID: 9537582135 Enrollment ID: I20200714002598 |
| Provider Name | Yary Massanet Rivero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740829498 PECOS PAC ID: 1951726322 Enrollment ID: I20210115002374 |
| Provider Name | Yunexi Giral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811634850 PECOS PAC ID: 6002297298 Enrollment ID: I20220719003169 |
| Provider Name | Kathleen Kinney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881947018 PECOS PAC ID: 4082062757 Enrollment ID: I20231120001460 |
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