| 3xs Pllc | |
|
17222 Hospital Blvd Suite 242 Brooksville FL 34601-8925 | |
| (352) 796-5102 | |
| (352) 796-2144 |
| Full Name | 3xs Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 17222 Hospital Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Lawandy Bolis (PHYSICIAN) |
| Authorized Official Contact | 3527965102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 3xs Pllc 14391 Spring Hill Dr Suitee 444 Spring Hill FL 34609-8199 Ph: (352) 796-5102 | 3xs Pllc 17222 Hospital Blvd Suite 242 Brooksville FL 34601-8925 Ph: (352) 796-5102 |
| NPI Number | 1467880682 |
|---|---|
| Provider Enumeration Date | 10/25/2013 |
| Last Update Date | 10/25/2013 |
| Medicare PECOS PAC ID | 3375772452 |
|---|---|
| Medicare Enrollment ID | O20140213000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467880682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME102757 (Florida) | Primary |
| 213E00000X | Podiatrist | PO3351 (Florida) | Secondary |
| Provider Name | Nahed K Bolis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952577652 PECOS PAC ID: 5991860728 Enrollment ID: I20090211000535 |
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