Kira Health & Wellness LLC
Nurse Practitioner, Family in Wimauma, FL. Organization (NPI-2).
NPI number1265266159
StatusActive
Last updated in NPPESSep 2, 2024
Details
- NPI
- 1265266159
- Entity type
- Organization (NPI-2)
- Legal business name
- Kira Health & Wellness LLC
- Organization subpart
- No
- Enumeration date
- Sep 2, 2024
- Certification date
- Sep 1, 2024
- Last updated
- Sep 2, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
16706 Carlton Pond StWimauma, FL 33598-2436
Phone 832-276-3119
Mailing address
16706 Carlton Pond StWimauma, FL 33598-2436
Phone 832-276-3119
Other practice locations
16706 Carlton Pond St
Wimauma, FL 33598-2436
Wimauma, FL 33598-2436
Phone 832-276-3119
Authorized official
Yarelis Gonzalez Pantoja
Aprn
8322763119
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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