| Qvita Health & Wellness, Llc | |
|
2734 Windguard Circle Suite 101 Welsy Chapel FL 33544 | |
| (813) 501-4130 | |
| Not Available |
| Full Name | Qvita Health & Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2734 Windguard Circle, Welsy Chapel, Florida |
| Authorized Official Name and Position | Panagiota Demetriou (NURSE PRACTITIONER/CEO) |
| Authorized Official Contact | 8135014130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Qvita Health & Wellness, Llc 2734 Windguard Cirle Suite 101 Welsy Chapel FL 33544 Ph: (813) 501-4130 | Qvita Health & Wellness, Llc 2734 Windguard Circle Suite 101 Welsy Chapel FL 33544 Ph: (813) 501-4130 |
| NPI Number | 1700332558 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 10/10/2016 |
| Medicare PECOS PAC ID | 6305134537 |
|---|---|
| Medicare Enrollment ID | O20161004001324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700332558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ARNP9188550 (Florida) | Primary |
| Provider Name | Panagiota Demetriou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104020759 PECOS PAC ID: 0648167056 Enrollment ID: I20040301001154 |
| Provider Name | Nektarios S Demetriou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154443521 PECOS PAC ID: 3971696345 Enrollment ID: I20080721000409 |