EDEN MEDICAL CLINIC LLC NPI 1134857683

NPI Information

NPI: 1134857683
Provider Name: EDEN MEDICAL CLINIC LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 10D2273107

Address:
2295 S HIAWASSEE RD STE 104
ORLANDO, FL
ZIP 32835
Phone: (407) 545-6441
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EDEN MEDICAL CLINIC LLC is a family nurse practitioner in Orlando, FL. EDEN MEDICAL CLINIC LLC NPI is 1134857683. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2295 S HIAWASSEE RD STE 104
ORLANDO, FL
ZIP 32835-748
Phone: (407) 545-6441
Fax: (407) 545-6421

The provider's authorized official is Babara Francis .
The authorized official title is Owner and has the following contact phone number (407) 545-6441.

The CLIA number assigned to this NPI record is 10D2273107 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2022 and was last updated on 8/11/2022.

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
1	363LF0000X	Nurse Practitioner	Family			Yes

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

NPI Synchronization or Removal

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