Provider Demographics
NPI:1255158291
Name:SITEK HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:SITEK HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AGATA
Authorized Official - Middle Name:
Authorized Official - Last Name:SITEK
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:813-508-7629
Mailing Address - Street 1:923 WESTMINSTER BLVD
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-4675
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:923 WESTMINSTER BLVD
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-4675
Practice Address - Country:US
Practice Address - Phone:813-508-7629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily