Active NPI
Healthy Inside & Out LLC
- Primary Care Clinic/Center
- Seminole, FL
National Provider Identifier
1063007110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- HEALTHY INSIDE & OUT LLC
- Practice address
- 10575 68TH Ave Ste A2
Seminole, FL 33772-6023 - Phone
- (813) 389-9516
- NPI assigned
- Mar 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ana Maria Polanco, APRN
- Title
- Co-Owner
- Phone
- (813) 389-9516
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
10575 68TH Ave Ste A2
Seminole, FL 33772-6023
Mailing address
27224 Snapper Creek LN
Wesley Chapel, FL 33544-5650
Phone (813) 389-9516
National Provider Directory
National Provider DirectoryLocations
3350 E Bay Dr
Largo, FL 33771
Phone (727) 614-9933
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614556800000",
"number": "1063007110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27224 SNAPPER CREEK LN",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335445650",
"telephone_number": "813-389-9516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10575 68TH AVE STE A2",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337726023",
"telephone_number": "813-389-9516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY INSIDE & OUT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-01",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A",
"authorized_official_last_name": "POLANCO",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "813-389-9516",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.