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MONTVERDE MEDICAL CLINIC PA NPI 1295123826


NPI Information

NPI: 1295123826
Provider Name: MONTVERDE MEDICAL CLINIC PA
Classification: Emergency Medicine - 207PE0005X
Entity Type: Organization

Specialization: Undersea and Hyperbaric Medicine

CLIA Number: 10D2212197

Address:
17434 8TH STREET
MONTVERDE, FL
ZIP 34756
Phone: (386) 871-8535
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MONTVERDE MEDICAL CLINIC PA is an undersea and hyperbaric medicine emergency medicine in Montverde, FL. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. MONTVERDE MEDICAL CLINIC PA NPI is 1295123826. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

17434 8TH STREET
MONTVERDE, FL
ZIP 34756
Phone: (386) 871-8535
Fax: (386) 269-4328

The provider's authorized official is Uril Greene .
The authorized official title is Owner/president and has the following contact phone number (386) 871-8535.

The CLIA number assigned to this NPI record is 10D2212197 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2015 and was last updated on 1/6/2015.


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
1207PE0005XEmergency MedicineUndersea and Hyperbaric MedicineME92697FLORIDAYes

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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