| Extrait Health, PLLC | |
|
437 Wildflower Rd Davenport FL 33837-2646 | |
| (863) 449-8583 | |
| Not Available |
| Full Name | Extrait Health, PLLC |
|---|---|
| Speciality | Clinic/center |
| Location | 437 Wildflower Rd, Davenport, Florida |
| Authorized Official Name and Position | Marcu Macagba (OWNER) |
| Authorized Official Contact | 8634498583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extrait Health, PLLC 437 Wildflower Rd Davenport FL 33837-2646 Ph: (863) 449-8583 | Extrait Health, PLLC 437 Wildflower Rd Davenport FL 33837-2646 Ph: (863) 449-8583 |
| NPI Number | 1427757848 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 02/24/2023 |
| Certification Date | 02/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427757848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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