MEDICARE: HIGHLANDS HEALTH AND WELLNESS CENTER 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	207R00000X	Internal Medicine Physician	ME57175	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DF3464	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902828650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLANDS HEALTH AND WELLNESS CENTER LLC

Provider Business Mailing Address
First Line	:	1739 US HIGHWAY 27 S
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-4920
Country	:	US
Telephone Number	:	863-382-0009
Fax Number	:	863-314-0008

Provider Business Practice Location Address
First Line	:	1739 US HIGHWAY 27 S
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-4920
Country	:	US
Telephone Number	:	863-382-0009
Fax Number	:	863-314-0008

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARIE R TOUSSAINT
Credential	:	M.D.
Telephone Number	:	863-382-0009

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	10/17/2016

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Directions to “HIGHLANDS HEALTH AND WELLNESS CENTER LLC ” Practice Location

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