Organization
ABOVE AND BEYOND HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMINA RAMAANU-PORTER APRN (AO)
(352) 209-4366
Entity
Organization
Contact information
Practice address
1111 NE 25TH AVE STE 104, OCALA, FL 34470-5665
(352) 209-4366
Mailing address
5201 SW 90TH LN, OCALA, FL 34476-9576
(352) 209-4366
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114476000
—
FL
01
—
APRN9186000
LICENSE NUMBER
FL
Enumeration date
02/04/2022
Last updated
12/28/2022
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