| Place For Your Health, Llc | |
|
1111 Oakfield Dr Ste 114 Brandon FL 33511-4948 | |
| (813) 324-9899 | |
| (813) 502-6111 |
| Full Name | Place For Your Health, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 Oakfield Dr Ste 114, Brandon, Florida |
| Authorized Official Name and Position | Hugo Ventura (OWNER) |
| Authorized Official Contact | 7876743631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Place For Your Health, Llc Po Box 891273 Tampa FL 33689-1100 Ph: (813) 334-9899 | Place For Your Health, Llc 1111 Oakfield Dr Ste 114 Brandon FL 33511-4948 Ph: (813) 324-9899 |
| NPI Number | 1649727397 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 07/22/2020 |
| Medicare PECOS PAC ID | 2769762707 |
|---|---|
| Medicare Enrollment ID | O20161208000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649727397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ACN415 (Florida) | Primary |
| Provider Name | Hugo Ventura Tavares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629034483 PECOS PAC ID: 7416058037 Enrollment ID: I20160421000944 |
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