| Mini Health Clinic, LLC | |
|
1150 Anderson St Clermont FL 34711-2507 | |
| (352) 227-3000 | |
| (352) 505-7738 |
| Full Name | Mini Health Clinic, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1150 Anderson St, Clermont, Florida |
| Authorized Official Name and Position | Kemeisha T Morgan (OWNER/PROVIDER) |
| Authorized Official Contact | 3522273000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mini Health Clinic, LLC 1028 Glenraven Ln Clermont FL 34711-9008 Ph: (407) 733-3923 | Mini Health Clinic, LLC 1150 Anderson St Clermont FL 34711-2507 Ph: (352) 227-3000 |
| NPI Number | 1770179590 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 12/16/2020 |
| Certification Date | 12/15/2020 |
| Medicare PECOS PAC ID | 3476071127 |
|---|---|
| Medicare Enrollment ID | O20250515003343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770179590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | (NU) | Secondary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | (NU) | Secondary |
| Provider Name | Kemeisha Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417403510 PECOS PAC ID: 8921387580 Enrollment ID: I20161122002060 |
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