=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366395832
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LOTUS CARE AND WELLNESS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/16/2026
-----------------------------------------------------
Last Update Date | 02/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4747 CENTRAL AVE
-----------------------------------------------------
City | SAINT PETERSBURG
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33713-8139
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-249-9218
-----------------------------------------------------
Fax | 727-245-0249
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4747 CENTRAL AVE
-----------------------------------------------------
City | SAINT PETERSBURG
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33713-8139
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-249-9218
-----------------------------------------------------
Fax | 727-245-0249
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JANITA WARD
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 727-420-7228
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QF0400X
-----------------------------------------------------
Taxonomy Name | Federally Qualified Health Center (FQHC)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------