SHILO LLC NPI 1437810199

NPI Information

NPI: 1437810199
Provider Name: SHILO LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 10D2026174

Address:
10549 N FLORIDA AVE STE I
TAMPA, FL
ZIP 33612
Phone: (813) 220-1400
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SHILO LLC is a rehabilitation and substance use disorder clinic center in Tampa, FL. SHILO LLC NPI is 1437810199. The provider is registered as an organization entity type.

The provider's business location address is:

10549 N FLORIDA AVE STE I
TAMPA, FL
ZIP 33612-707
Phone: (813) 220-1400

The provider's authorized official is Steve O Banjoko .
The authorized official title is Cfo and has the following contact phone number (813) 341-4000.

The CLIA number assigned to this NPI record is 10D2026174 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2022 and was last updated on 1/5/2022.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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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