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OUTPATIENT HEALTH SERVICES LLC NPI 1356884712


NPI Information

NPI: 1356884712
Provider Name: OUTPATIENT HEALTH SERVICES LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 10D2301478

Address:
2100 SE HILLMOOR DR STE 202
PORT ST LUCIE, FL
ZIP 34952
Phone: (561) 815-2649
Get Directions

OUTPATIENT HEALTH SERVICES LLC is an addiction medicine family medicine in Port St Lucie, FL. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. OUTPATIENT HEALTH SERVICES LLC NPI is 1356884712. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2100 SE HILLMOOR DR STE 202
PORT ST LUCIE, FL
ZIP 34952-057
Phone: (561) 815-2649

The provider's authorized official is Annamarie Lopinto .
The authorized official title is Controller and has the following contact phone number (561) 815-2649.

The CLIA number assigned to this NPI record is 10D2301478 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2016 and was last updated on 7/12/2023.


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
1103TA0400XPsychologistAddiction (Substance Use Disorder)No
2207QA0401XFamily MedicineAddiction MedicineYes

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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