Innovative Healthy Aging, LLC
NPI #1669158929 in Tierra Verde, Florida
Provider Information
- NPI Number
- 1669158929
- Entity Type
- Organization
- Organization Name
- Innovative Healthy Aging, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 22, 2023
- Last Updated
- Mar 20, 2024
Practice Location
- Address
- 1120 PINELLAS BAYWAY S STE 105
- City
- Tierra Verde
- State
- Florida
- ZIP Code
- 33715-1500
- Phone
- (727) 282-9724
Authorized Official
- Name
- TERESA ANNETTE NESBIT, CNM, APRN
- Title
- NURSE PRACTIONER
- Phone
- (727) 282-9724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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