Restoring Wellness Primary Care LLC
NPI #1467977827 in Pinellas Park, Florida
Provider Information
- NPI Number
- 1467977827
- Entity Type
- Organization
- Organization Name
- Restoring Wellness Primary Care LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 7, 2017
- Last Updated
- Oct 11, 2020
Practice Location
- Address
- 10597 US HIGHWAY 19 N
- City
- Pinellas Park
- State
- Florida
- ZIP Code
- 33782-3413
- Phone
- (727) 351-1700
Authorized Official
- Name
- DR. JAIMIE LOUSIE MICKEY, MD
- Title
- OWNER PHYSICIAN
- Phone
- (813) 362-5748
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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