MEDICARE: TRUE LILY HEALTH SOLUTIONS 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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1023846490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE LILY HEALTH SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	6425 21ST ST SW
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32968-9471
Country	:	US
Telephone Number	:	772-321-9789
Fax Number	:

Provider Business Practice Location Address
First Line	:	6425 21ST ST SW
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32968-9471
Country	:	US
Telephone Number	:	772-321-9789
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. LISA ANN SELLERS
Credential	:	APRN-C
Telephone Number	:	772-321-9789

Provider Enumeration Date	:	07/25/2024
Last Update Date	:	07/25/2024

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