Organization Active NPI

Healthy Inside & Out LLC

  • Primary Care Clinic/Center
  • Seminole, FL
National Provider Identifier
1063007110
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Mar 1, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.