Provider Demographics
NPI:1285245878
Name:PLATINUM HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:PLATINUM HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSONS LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-BC
Authorized Official - Phone:352-559-4334
Mailing Address - Street 1:214 W UNIVERSITY AVE STE B
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-5685
Mailing Address - Country:US
Mailing Address - Phone:352-559-4334
Mailing Address - Fax:
Practice Address - Street 1:214 W UNIVERSITY AVE STE B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-5685
Practice Address - Country:US
Practice Address - Phone:352-559-4334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-17
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty