| Integrated Healthpromotion | |
|
315 S Ronald Reagan Blvd Longwood FL 32750-5404 | |
| (407) 637-5656 | |
| (407) 637-5725 |
| Full Name | Integrated Healthpromotion |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 315 S Ronald Reagan Blvd, Longwood, Florida |
| Authorized Official Name and Position | Katya Victoria Ridore (OWNER) |
| Authorized Official Contact | 9143403084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Healthpromotion 315 S Ronald Reagan Blvd Longwood FL 32750-5404 Ph: (407) 637-5656 | Integrated Healthpromotion 315 S Ronald Reagan Blvd Longwood FL 32750-5404 Ph: (407) 637-5656 |
| NPI Number | 1003498163 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 12/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003498163 | NPI | - | NPPES |
| OQ279 | Other | FL | HF MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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