MEDICARE: ABOVE AND BEYOND HEALTH AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	363LA2200X	Adult Health Nurse Practitioner
3	363LP2300X	Primary Care Nurse Practitioner
4	363LF0000X	Family Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	APRN9186000	OTHER	FL	LICENSE NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760136287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABOVE AND BEYOND HEALTH AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	5201 SW 90TH LN
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34476-9576
Country	:	US
Telephone Number	:	352-209-4366
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 NE 25TH AVE STE 104
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-5665
Country	:	US
Telephone Number	:	352-209-4366
Fax Number	:

Authorized Official
Title or Position	:	AO
Name	:	AMINA RAMAANU-PORTER
Credential	:	APRN
Telephone Number	:	352-209-4366

Provider Enumeration Date	:	02/04/2022
Last Update Date	:	12/28/2022

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Directions to “ABOVE AND BEYOND HEALTH AND WELLNESS LLC ” Practice Location

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