Organization
LIFESTREAM VIRTUAL PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIEL VARELA (NURSE PRACTITIONER)
(813) 240-9696
Entity
Organization
Contact information
Practice address
7901 4TH ST N # 24609, ST PETERSBURG, FL 33702-4305
(813) 240-9696
Mailing address
7901 4TH ST N # 24609, ST PETERSBURG, FL 33702-4305
(813) 240-9696
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/13/2024
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