Health and Wellness Premium Services LLC
NPI #1659192060 in St Petersburg, Florida
Provider Information
- NPI Number
- 1659192060
- Entity Type
- Organization
- Organization Name
- Health and Wellness Premium Services LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 18, 2024
- Last Updated
- Oct 22, 2025
Practice Location
- Address
- 7901 4TH ST N STE 300
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33702-4399
- Phone
- (561) 247-3069
Authorized Official
- Name
- KESANN K DORMAND
- Title
- CEO
- Phone
- (561) 779-0728
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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