MEDICARE: LIMITLESS CARE CLINIC

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	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	158651	OTHER	FL	LICENSE

General Provider Information

NPI Number	:	1346954278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIMITLESS CARE CLINIC

Provider Business Mailing Address
First Line	:	1110 BELL SHOALS RD STE 102
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-8813
Country	:	US
Telephone Number	:	813-315-9435
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 BELL SHOALS RD STE 102
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-8813
Country	:	US
Telephone Number	:	813-315-9435
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	AHMAD ALSARAH
Credential	:	MD
Telephone Number	:	813-315-9435

Provider Enumeration Date	:	01/05/2023
Last Update Date	:	01/05/2023

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Directions to “LIMITLESS CARE CLINIC ” Practice Location

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