Organization · Type 2 NPI
Innovative Healthy Aging, LLC
Clinic/Center · Tierra Verde, FL
NPI number
1669158929
Active
Practice location
1120 Pinellas Bayway S Ste 105
Tierra Verde, FL 33715-1500
Fax (727) 317-0043
Mailing address
841 2nd Ave S
Tierra Verde, FL 33715-2249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1669158929
Innovative Healthy Aging, LLC's National Provider Identifier is 1669158929, issued on Jun 22, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Tierra Verde, FL. The record was last updated on Mar 20, 2024.