STAT MEDICAL CLINIC III INC NPI 1316177470

NPI Information

NPI: 1316177470
Provider Name: STAT MEDICAL CLINIC III INC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 10D0880250

Address:
800 E HALLANDALE BEACH BLVD
SUITE #22
HALLANDALE BEACH, FL
ZIP 33009
Phone: (954) 456-1212
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STAT MEDICAL CLINIC III INC is a health service clinic center in Hallandale Beach, FL. STAT MEDICAL CLINIC III INC NPI is 1316177470. The provider is registered as an organization entity type.

The provider's business location address is:

800 E HALLANDALE BEACH BLVD
SUITE #22
HALLANDALE BEACH, FL
ZIP 33009-477
Phone: (954) 456-1212
Fax: (954) 456-0748

The provider's authorized official is Patrice Pryce .
The authorized official title is Billing and has the following contact phone number (954) 568-1033.

The CLIA number assigned to this NPI record is 10D0880250 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2009 and was last updated on 5/18/2012.

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	261QH0100X	Clinic/Center	Health Service			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95556	MEDICARE UPIN

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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