| Pomila Integrated Wellness Llc | |
|
10800 Corkscrew Rd Ste 210 Estero FL 33928-9453 | |
| (844) 290-7300 | |
| (844) 787-9900 |
| Full Name | Pomila Integrated Wellness Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10800 Corkscrew Rd Ste 210, Estero, Florida |
| Authorized Official Name and Position | Robert Pollack (OWNER) |
| Authorized Official Contact | 8442907300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pomila Integrated Wellness Llc 10800 Corkscrew Rd Ste 210 Estero FL 33928-9453 Ph: (844) 290-7300 | Pomila Integrated Wellness Llc 10800 Corkscrew Rd Ste 210 Estero FL 33928-9453 Ph: (844) 290-7300 |
| NPI Number | 1740865013 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 02/08/2022 |
| Certification Date | 01/31/2022 |
| Medicare PECOS PAC ID | 7214346014 |
|---|---|
| Medicare Enrollment ID | O20210507000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740865013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert W Pollack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588816771 PECOS PAC ID: 3476600263 Enrollment ID: I20090414000282 |
| Provider Name | Laura Wehmeyer Yancey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568790350 PECOS PAC ID: 0840487682 Enrollment ID: I20120723000600 |
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