| Living Well Clinic LLC | |
|
7333 Scotland Way Sarasota FL 34238-8530 | |
| (941) 552-5355 | |
| Not Available |
| Full Name | Living Well Clinic LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 7333 Scotland Way, Sarasota, Florida |
| Authorized Official Name and Position | James W Cater (CEO) |
| Authorized Official Contact | 9415525355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Clinic LLC 7333 Scotland Way Sarasota FL 34238-8530 Ph: (941) 552-5355 | Living Well Clinic LLC 7333 Scotland Way Sarasota FL 34238-8530 Ph: (941) 552-5355 |
| NPI Number | 1942847256 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 12/05/2019 |
| Medicare PECOS PAC ID | 5799108767 |
|---|---|
| Medicare Enrollment ID | O20200709000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942847256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Deniese Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679991624 PECOS PAC ID: 2668624867 Enrollment ID: I20141125001149 |
| Provider Name | Nicholette Noel Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376363465 PECOS PAC ID: 8224551809 Enrollment ID: I20250325002589 |
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