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Organization
NUMINOUS HEALTH
Active
Organization
NUMINOUS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLA HEUSNER MD (OWNER)
(727) 732-0288
Entity
Organization
Contact information
Practice address
1512 SEA GULL DR S, ST PETERSBURG, FL 33707-3837
(727) 732-0288
Mailing address
1512 SEA GULL DR S, ST PETERSBURG, FL 33707-3837
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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