Organization
RESTORING WELLNESS PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIMIE LOUSIE MICKEY MD (OWNER PHYSICIAN)
(813) 362-5748
Entity
Organization
Contact information
Practice address
10597 US HIGHWAY 19 N, PINELLAS PARK, FL 33782-3413
(727) 351-1700
(727) 351-1701
Mailing address
5044 DOVER ST NE, ST PETERSBURG, FL 33703-3215
(813) 362-5748
(737) 351-1701
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME103083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000994100
—
FL
Enumeration date
08/07/2017
Last updated
10/11/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us