| Nova Wellness Loft Llc | |
|
2320 North Blvd W Ste A Davenport FL 33837-8961 | |
| (863) 866-0909 | |
| Not Available |
| Full Name | Nova Wellness Loft Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2320 North Blvd W Ste A, Davenport, Florida |
| Authorized Official Name and Position | Yasmine Dominique-merveus (CO-OWNER) |
| Authorized Official Contact | 8638660909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Wellness Loft Llc 1 South Blvd E # 1845 Davenport FL 33837-7547 Ph: () - | Nova Wellness Loft Llc 2320 North Blvd W Ste A Davenport FL 33837-8961 Ph: (863) 866-0909 |
| NPI Number | 1740174473 |
|---|---|
| Provider Enumeration Date | 06/06/2025 |
| Last Update Date | 06/06/2025 |
| Certification Date | 06/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740174473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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