DIVINE DESTINY VIRTUAL HEALTH


Address: 2631a Nw 41st St, Gainesville, FL 32606-6628
Phone: 4077322070

DIVINE DESTINY VIRTUAL HEALTH (NPI# 1235756313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235756313
Entity Type Organization
Organization Name DIVINE DESTINY VIRTUAL HEALTH
Practice Address 2631a Nw 41st St
Gainesville
FL 32606-6628
Practice Telephone 4077322070
Mailing Telephone 4077320720
Mailing Fax Number 8556040918
Enumeration Date 2020-07-06
Last Update Date 2020-07-07
Authorized Official Name LOUELLA PRITCHETTE (OWNER)
Authorized Official Telephone 4077320720
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL COMMERCIAL 1104161017 01
PA COMMERCIAL 1104161017 01
PA 1104161017 05
FL 1104161017 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1800 Ashbourne Rd, Elkins Park, PA 190272595 2156139894 8556040918

Office Location

Street Address 2631A NW 41ST ST
City GAINESVILLE
State FL
Zip Code 32606-6628

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326652389 Michael James Watkins Massage Therapist 6418 Nw 39th Ave, Gainesville, FL 32606 2020-09-06
1073134813 Sun View Counseling LLC Counselor 3550 Nw 87 Ter., Gainesville, FL 32606 2020-05-04
1588283568 Jeena Kar Student in an Organized Health Care Education/Training Program Uf Psychiatry Residency Training, 4101 Nw 89th Boulevard, Rm 1796, Gainesville, FL 32606 2020-04-10
1467917864 Marquetta Lee Social Worker 2772 Nw 43rd St, Ste C, Gainesville, FL 32606 2019-02-10
1376025742 Jacob Sanow Student in an Organized Health Care Education/Training Program 5200 Nw 43rd St Unit 401, Gainesville, FL 32606 2018-09-03
1750878393 Taylor Brown Occupational Therapist 3850 Nw 83rd St # 201, Gainesville, FL 32606 2018-04-19
1568914471 Bernard Mitchll Behavior Technician 3515 Nw 60th Terrace, Gainesville, FL 32606 2016-10-26
1760839534 Nancy Christiana Collins Counselor 4907 Nw 43rd St C., Gainesville, FL 32606 2016-05-20
1730553140 Dawn Johnson O'byrne Counselor 4041 Nw 37th Place, Suite A, Gainesville, FL 32606 2015-11-23
1225424815 Dianne Voitle Acupuncturist 2727b N.w. 43rd St. Suite 8, Gainesville, FL 32606 2015-04-09
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407479702 Heather Lynn Towne Family Medicine 4730 Nw 32nd Ave, Gainesville, FL 32606-6023 2020-05-20
1346883196 Carehere LLC Family Medicine 4340 Newberry Rd Ste 203, Gainesville, FL 32607-2557 2019-10-24
1609348978 Anderle and Lewis Pllc Family Medicine 1615 Hospital Blvd Ste A, Gainesville, TX 76240-2032 2018-12-26
1598111064 Janelle C Wilkinson Family Medicine 1600 Sw Archer Road- Suite N1-07, University of Florida Community Health & Family Medicin, Gainesville, FL 32610-3001 2016-05-13
1033581996 Florida Medical & Allergy Centers LLC Family Medicine 926 Nw 13th St, Gainesville, FL 32601-4140 2015-10-30
1255703419 Patient First Richmond Medical Group Pllc Family Medicine 14800 Lee Highway, Gainesville, VA 20155-1842 2015-10-28
1962884411 Margaret A Erwood Family Medicine 1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, GA 30501-3806 2015-06-22
1902286867 Mehak Gandhi Family Medicine 6400 W Newberry Rd Ste 101, Gainesville, FL 32605-4383 2015-06-05
1497135263 Peter Farag Family Medicine 6400 W Newberry Rd Ste 101b, Gainesville, FL 32605-6605 2015-06-05
1962821405 Brittany Hoyes Family Medicine 1600 Sw Archer Rd Ste N1-07, Gainesville, FL 32610-3003 2014-04-14
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Competitor

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City GAINESVILLE
Zip Code 32606

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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