Organization
XTRA HEALTH, LLC
Active
Other names
Xtra Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES P MAHER III (CEO)
(904) 347-1700
Entity
Organization
Contact information
Practice address
12036 NW 1ST LN STE 200, GAINESVILLE, FL 32607-1123
(904) 347-1700
Mailing address
12036 NW 1ST LN STE 200, GAINESVILLE, FL 32607-1123
(904) 347-1700
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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