| Seasons Of Wellness Inc. | |
|
2044 E Orange Ave Eustis FL 32726-4418 | |
| (352) 763-3877 | |
| (352) 329-4378 |
| Full Name | Seasons Of Wellness Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2044 E Orange Ave, Eustis, Florida |
| Authorized Official Name and Position | June Craft (OWNER) |
| Authorized Official Contact | 6062609836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seasons Of Wellness Inc. 26619 W Cove Dr Tavares FL 32778-9711 Ph: (606) 260-9836 | Seasons Of Wellness Inc. 2044 E Orange Ave Eustis FL 32726-4418 Ph: (352) 763-3877 |
| NPI Number | 1922823145 |
|---|---|
| Provider Enumeration Date | 11/21/2024 |
| Last Update Date | 04/05/2025 |
| Certification Date | 04/05/2025 |
| Medicare PECOS PAC ID | 5496266785 |
|---|---|
| Medicare Enrollment ID | O20250613002578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922823145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | June S Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639351000 PECOS PAC ID: 7719278811 Enrollment ID: I20230607001459 |
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