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NPI Code Detail

MEDICARE: HOLISTIC MEDICAL LLC

MEDICARE: HOLISTIC MEDICAL 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
1261Q00000XClinic/Center
2261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1538936372
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLISTIC MEDICAL LLC
Provider Business Mailing Address
First Line : 5080 NW 74TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33166-5554
Country : US
Telephone Number : 305-609-3300
Fax Number :
Provider Business Practice Location Address
First Line : 5080 NW 74TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33166-5554
Country : US
Telephone Number : 305-609-3300
Fax Number :
Authorized Official
Title or Position : MGR
Name : ENEIDA REYES FIGUEREDO
Credential :
Telephone Number : 786-233-7050
Provider Enumeration Date : 12/11/2023
Last Update Date : 02/06/2025

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Directions to “HOLISTIC MEDICAL LLC ” Practice Location

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