Healthcare Provider Details

I. General information

NPI: 1497078869
Provider Name (Legal Business Name): IN SEARCH OF ONENESS P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2010
Last Update Date: 03/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10730 US HIGHWAY 19 SUITE 1
PORT RICHEY FL
34668-2885
US

IV. Provider business mailing address

PO BOX 859
ELFERS FL
34680-0859
US

V. Phone/Fax

Practice location:
  • Phone: 727-808-5829
  • Fax:
Mailing address:
  • Phone: 727-808-5829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberAP 2696
License Number StateFL

VIII. Authorized Official

Name: RYAN LINSANGAN CHU
Title or Position: PRESIDENT
Credential:
Phone: 727-808-5829