Extrait Health, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EXTRAIT HEALTH, PLLC

Practice address

437 Wildflower Rd
Davenport, FL 33837-2646

Phone

(863) 449-8583

NPI assigned

Feb 24, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marcu Macagba, APRN

Title

Owner

Phone

(863) 449-8583

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1427757848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 WILDFLOWER RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338372646",
            "telephone_number": "863-449-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 WILDFLOWER RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338372646",
            "telephone_number": "863-449-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRAIT HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "MACAGBA",
        "authorized_official_first_name": "MARCU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-449-8583",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Davenport, FL
• Providers in Davenport, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.