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STAY WELL LLC NPI 1093380057


NPI Information

NPI: 1093380057
Provider Name: STAY WELL LLC

Doing Business As: STAY WELL PEDIATRIC CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3898 VIA POINCIANA STE 15
LAKE WORTH, FL
ZIP 33467
Phone: (561) 308-0818
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STAY WELL LLC is a clinic center in Lake Worth, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). STAY WELL LLC NPI is 1093380057. The provider is registered as an organization entity type.
The provider Is Doing Business As Stay Well Pediatric Center.

The provider's business location address is:

3898 VIA POINCIANA STE 15
LAKE WORTH, FL
ZIP 33467-951
Phone: (561) 308-0818

The provider's authorized official is Yasmany Jimenez .
The authorized official title is Officer and has the following contact phone number (561) 704-1275.

The enumeration date for this NPI number is 5/23/2021 and was last updated on 9/15/2023.


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
1261Q00000XClinic/CenterYes

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: 5/5/2024

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