Healthcare Provider Details

I. General information

NPI: 1982384186
Provider Name (Legal Business Name): MYRIAD HEALTH MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2023
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 LAMSON AVE
SPRING HILL FL
34608-3323
US

IV. Provider business mailing address

14690 SPRING HILL DR STE 101
SPRING HILL FL
34609-8102
US

V. Phone/Fax

Practice location:
  • Phone: 352-691-5070
  • Fax: 352-691-5072
Mailing address:
  • Phone: 352-799-0046
  • Fax: 352-799-0042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PARIKSITH SINGH
Title or Position: CEO
Credential: MD
Phone: 352-277-5348