Healthcare Provider Details

I. General information

NPI: 1700535390
Provider Name (Legal Business Name): CARY SEARS NBC-HWC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 03/21/2022
Certification Date: 03/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 S MONROE ST FL 1
TALLAHASSEE FL
32301-1529
US

IV. Provider business mailing address

113 SOUTH MONROE STREET, PMB #4888 1ST FLOOR
TALLAHASSEE FL
32301
US

V. Phone/Fax

Practice location:
  • Phone: 216-272-8320
  • Fax:
Mailing address:
  • Phone: 216-272-8320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: