| Integrative Wellness Clini | |
|
327 Medcrest Dr Unit A Crestview FL 32536-6464 | |
| (850) 699-0736 | |
| Not Available |
| Full Name | Integrative Wellness Clini |
|---|---|
| Speciality | Family Medicine |
| Location | 327 Medcrest Dr Unit A, Crestview, Florida |
| Authorized Official Name and Position | Kate R Lops (PHYSICIAN) |
| Authorized Official Contact | 8506990736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Wellness Clini 328 Kelly Plantation Dr Destin FL 32541-3475 Ph: (850) 699-0736 | Integrative Wellness Clini 327 Medcrest Dr Unit A Crestview FL 32536-6464 Ph: (850) 699-0736 |
| NPI Number | 1265299077 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/13/2025 |
| Medicare PECOS PAC ID | 3779027800 |
|---|---|
| Medicare Enrollment ID | O20240701001733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265299077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Kate R Lops |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518938653 PECOS PAC ID: 8224003082 Enrollment ID: I20040826000762 |
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