| Medical Holistic Center, Llc | |
|
512 Canal St New Smyrna Beach FL 32168-7012 | |
| (386) 663-3003 | |
| (386) 663-3007 |
| Full Name | Medical Holistic Center, Llc |
|---|---|
| Speciality | General Practice |
| Location | 512 Canal St, New Smyrna Beach, Florida |
| Authorized Official Name and Position | Katie Anne Stevenson (MANAGING PARTNER) |
| Authorized Official Contact | 3866633003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Holistic Center, Llc 512 Canal St New Smyrna Beach FL 32168-7012 Ph: (386) 663-3003 | Medical Holistic Center, Llc 512 Canal St New Smyrna Beach FL 32168-7012 Ph: (386) 663-3003 |
| NPI Number | 1770747990 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770747990 | NPI | - | NPPES |
| 279979100 | Other | FL | MEDIPASS |
| 279979100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS9438 (Florida) | Primary |
Causeway Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1720 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-427-8008 Fax: 386-402-4309 | |
Metcare Of New Smyrna Beach Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1722 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-428-3241 Fax: 986-427-8440 | |
Russell E. Perry, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Palmetto St Ste A, New Smyrna Beach, FL 32168 Phone: 386-423-1212 Fax: 386-423-5730 | |
Mark K Nagrani Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 612 Palmetto St, New Smyrna Beach, FL 32168 Phone: 386-423-5500 Fax: 800-813-9164 | |
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