| Divine Health Medical And Spa Llc | |
|
11119 Rockville Pike Ste 320 Rockville MD 20852-3143 | |
| (240) 669-6598 | |
| (240) 669-6079 |
| Full Name | Divine Health Medical And Spa Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11119 Rockville Pike Ste 320, Rockville, Maryland |
| Authorized Official Name and Position | Sally Owie Young (EDUCATOR) |
| Authorized Official Contact | 2404379997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Health Medical And Spa Llc 12406 Buckley Dr Silver Spring MD 20904-2017 Ph: (240) 437-9997 | Divine Health Medical And Spa Llc 11119 Rockville Pike Ste 320 Rockville MD 20852-3143 Ph: (240) 669-6598 |
| NPI Number | 1790428555 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 07/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790428555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Elena Isenbergh, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6224 Montrose Rd, Rockville, MD 20852 Phone: 202-701-0060 Fax: 301-230-1897 | |
Elevate Health Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Congressional Ln Ste 316, Rockville, MD 20852 Phone: 240-221-3116 | |
Montgomery County Maryland Government Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 Twinbrook Pkwy, Suite 211, Rockville, MD 20851 Phone: 240-777-3894 | |
Apha Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12345 Parklawn Dr Ste 200r31, Rockville, MD 20852 Phone: 240-889-3868 Fax: 501-222-6141 | |
Veritas Concierge Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9715 Medical Center Dr Ste 327, Rockville, MD 20850 Phone: 301-302-8835 | |
Kamalinee Deshpande Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6001 Lux Ln, Rockville, MD 20852 Phone: 301-493-6866 | |
Montgomery County Maryland Government Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4910 Macon Rd, Rockville, MD 20852 Phone: 240-740-4430 Fax: 301-468-4532 |