Organization
PIONEER HEALTH ALLIANCE INC
Active
Other names
Wellness On Wheels, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SEEMA KHANNA (OWNER/OPERATOR)
(352) 516-3972
Entity
Organization
Contact information
Practice address
1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159-6827
(352) 508-1125
(352) 674-4386
Mailing address
1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159-6827
(352) 508-1125
(352) 674-4386
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010139401
—
FL
01
—
EY818A
MEDICARE PTAN
FL
Enumeration date
10/08/2010
Last updated
04/13/2016
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