| Walmart Health | |
|
1563 Land O' Lakes Blvd Lutz FL 33549 | |
| (931) 345-3831 | |
| Not Available |
| Full Name | Walmart Health |
|---|---|
| Speciality | General Practice |
| Location | 1563 Land O' Lakes Blvd, Lutz, Florida |
| Authorized Official Name and Position | Soujanya Pulluru (OWNER) |
| Authorized Official Contact | 6305454046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walmart Health 702 Sw 8th St # Ms 0445 Bentonville AR 72716-0445 Ph: (479) 258-2080 | Walmart Health 1563 Land O' Lakes Blvd Lutz FL 33549 Ph: (931) 345-3831 |
| NPI Number | 1942910005 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942910005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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