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CENTRAL FLORIDA ACCIDENT AND INJURY NPI 1316232200


NPI Information

NPI: 1316232200
Provider Name: CENTRAL FLORIDA ACCIDENT AND INJURY

Doing Business As: PAIN FREE ORLANDO

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 10D2216235

Address:
1611 N MAIN ST
KISSIMMEE, FL
ZIP 34744
Phone: (407) 344-4878
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CENTRAL FLORIDA ACCIDENT AND INJURY is a family nurse practitioner in Kissimmee, FL. CENTRAL FLORIDA ACCIDENT AND INJURY NPI is 1316232200. The provider is registered as an organization entity type.
The provider Is Doing Business As Pain Free Orlando.

The provider's business location address is:

1611 N MAIN ST
KISSIMMEE, FL
ZIP 34744-304
Phone: (407) 344-4878
Fax: (407) 344-7878

The provider's authorized official is Thomas Patrick Entwistle .
The authorized official title is Physician / Owner and has the following contact phone number (407) 344-4878.

The CLIA number assigned to this NPI record is 10D2216235 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2011 and was last updated on 2/24/2022.


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
1261Q00000XClinic/CenterNo
2363LF0000XNurse PractitionerFamilyYes

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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