Provider Demographics
NPI:1851858161
Name:GRACE HEALTH AND WELLNESS SPECIALISTS
Entity Type:Organization
Organization Name:GRACE HEALTH AND WELLNESS SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEAMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KALFS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:352-528-3736
Mailing Address - Street 1:1039 NE 25TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-3788
Mailing Address - Country:US
Mailing Address - Phone:352-622-2681
Mailing Address - Fax:
Practice Address - Street 1:412 W NOBLE AVE
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:FL
Practice Address - Zip Code:32696-2034
Practice Address - Country:US
Practice Address - Phone:352-528-3736
Practice Address - Fax:352-528-3211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty