OrganizationActive
Holistic Health & Wellness Medical Spa
NPI 1497287361 · Pain Medicine Physician · Largo, MD
Provider details
- NPI number
- 1497287361
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joyce Edwards, Owner(301) 772-1500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Geriatric Physical Therapist2251G0304X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1450 Mercantile Ln
221
Largo, MD 20774-5376
Phone: (301) 772-1500
Fax: (301) 773-0050
Approximate (ZIP-level) locationGet directions
Mailing address
1450 Mercantile Ln
Largo, MD 20774-5376
Registry dates
- Enumerated
- 2017-03-30
- Last updated
- 2017-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.