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NPI Code Detail

MEDICARE: RETHINK HEALTH DIRECT PRIMARY CARE, LLC

MEDICARE: RETHINK HEALTH DIRECT PRIMARY CARE, 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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1851920227
Entity Type Code : Organization
Provider Name (Legal Business Name) : RETHINK HEALTH DIRECT PRIMARY CARE, LLC
Provider Business Mailing Address
First Line : 1886 MEETING PL
Second Line :
City : ORLANDO
State : FL
Zip : 32814-6321
Country : US
Telephone Number : 407-274-4211
Fax Number :
Provider Business Practice Location Address
First Line : 111 N LAKEMONT AVE STE 2C
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-3217
Country : US
Telephone Number : 407-274-4211
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : ELIZABETH SIROLLY
Credential : PA-C
Telephone Number : 407-274-4211
Provider Enumeration Date : 04/07/2020
Last Update Date : 04/07/2020

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Directions to “RETHINK HEALTH DIRECT PRIMARY CARE, LLC ” Practice Location

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