MEDICARE: XPRESS-HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician

General Provider Information

NPI Number	:	1578217261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XPRESS-HEALTH LLC

Provider Business Mailing Address
First Line	:	16503 ADAJA DE AVILA
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-1086
Country	:	US
Telephone Number	:	215-605-3395
Fax Number	:

Provider Business Practice Location Address
First Line	:	16503 ADAJA DE AVILA
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-1086
Country	:	US
Telephone Number	:	215-605-3395
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MARIA M ARAUJO
Credential	:
Telephone Number	:	215-605-3395

Provider Enumeration Date	:	02/10/2022
Last Update Date	:	02/10/2022

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