Panacea Health Systems LLC
Organization Active NPI Clinic/Center · Chiefland, FL
NPI 1639717374 · NPPES record last updated Dec 16, 2019
Key facts
- NPI
- 1639717374
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- PANACEA HEALTH SYSTEMS LLC
- Practice address
- 304 N Main St
Chiefland, FL 32626-0803 - Phone
- (352) 414-2270
- NPI assigned
- Dec 12, 2019
- Organization subpart
- No
Authorized official
- Name
- Ashwin Kolaventy
- Title
- Managing Member
- Phone
- (352) 414-2270
Subparts reporting this organization as parent 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
304 N Main St
Chiefland, FL 32626-0803
Mailing address
6600 SW Highway 200 Ste 300
Ocala, FL 34476-5554
Other providers in Chiefland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.