HOLISTIC DIRECT PRIMARY CARE NPI 1285562785

NPI Information

  • NPI: 1285562785
  • Provider Name: HOLISTIC DIRECT PRIMARY CARE
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • CLIA Number: 10D2307640
  • Address: 13328 SWALLOWTAIL DR
    LAKEWOOD RANCH, FL
    ZIP 34202
  • Phone: (941) 348-2460

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NPI Details

HOLISTIC DIRECT PRIMARY CARE is an adult medicine family medicine in Lakewood Ranch, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. HOLISTIC DIRECT PRIMARY CARE NPI is 1285562785. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13328 SWALLOWTAIL DR
LAKEWOOD RANCH, FL
ZIP 34202-241
Phone: (941) 348-2460
Fax: (949) 695-4816

The provider's authorized official is Jewel Louise Tartt .
The authorized official title is Owner, Provider and has the following contact phone number (941) 348-2460.

The CLIA number assigned to this NPI record is 10D2307640 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2026 and was last updated on 5/13/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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