MEDICARE: PEOPLEONE HEALTH FLORIDA, 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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1922863125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLEONE HEALTH FLORIDA, LLC

Provider Business Mailing Address
First Line	:	PO BOX 123
Second Line	:
City	:	OAKMONT
State	:	PA
Zip	:	15139-0123
Country	:	US
Telephone Number	:	888-330-6891
Fax Number	:

Provider Business Practice Location Address
First Line	:	6100 SAINT JOHNS AVE UNIT 4-5
Second Line	:
City	:	PALATKA
State	:	FL
Zip	:	32177-3844
Country	:	US
Telephone Number	:	800-330-6891
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF CLINICAL COMPLIANCE
Name	:	RACHEL IMHOFF
Credential	:
Telephone Number	:	888-330-6891

Provider Enumeration Date	:	02/16/2024
Last Update Date	:	04/06/2026

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Directions to “PEOPLEONE HEALTH FLORIDA, LLC ” Practice Location

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