White Sands Integrative Medical, Inc.
NPI 1447886916ActiveOrganization· General Practice· Fort Walton Beach, FL
General Practice in Fort Walton Beach, Florida, registered in NPPES in March 2020. The authorized official on file is Erik Ryan Persiani, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1447886916 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 17, 2020 |
| Last updated in NPPES | Mar 17, 2020 |
| Certified by provider | Mar 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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