MEDICARE: INSTIC HEALTH 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	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811519234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSTIC HEALTH LLC

Provider Business Mailing Address
First Line	:	105 N ALEXANDER ST STE 105
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-4831
Country	:	US
Telephone Number	:	813-755-7300
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 N ALEXANDER ST STE 105
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-4831
Country	:	US
Telephone Number	:	813-755-7300
Fax Number	:	833-905-0111

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. SIDDHARTH V PATEL
Credential	:	RPH
Telephone Number	:	813-755-7300

Provider Enumeration Date	:	05/07/2020
Last Update Date	:	12/17/2024

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Directions to “INSTIC HEALTH LLC ” Practice Location

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