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WALK IN MEDICAL CLINIC AND FITNESS CENTER LLC NPI 1518268283


NPI Information

NPI: 1518268283
Provider Name: WALK IN MEDICAL CLINIC AND FITNESS CENTER, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3105 INNOVATION DR STE A
SAINT CLOUD, FL
ZIP 34769
Phone: (407) 498-0539
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WALK IN MEDICAL CLINIC AND FITNESS CENTER, LLC is a clinic center in Saint Cloud, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WALK IN MEDICAL CLINIC AND FITNESS CENTER, LLC NPI is 1518268283. The provider is registered as an organization entity type.

The provider's business location address is:

3105 INNOVATION DR STE A
SAINT CLOUD, FL
ZIP 34769-501
Phone: (407) 498-0539
Fax: (877) 203-2038

The provider's authorized official is Nicanor C. Lopez .
The authorized official title is Owner and has the following contact phone number (267) 475-8447.

The enumeration date for this NPI number is 11/10/2010 and was last updated on 11/11/2010.


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
1261QP2300XClinic/CenterPrimary CareMD037726LPENNSYLVANIANo
2261Q00000XClinic/Center105419FLORIDAYes

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
1C32318MEDICARE UPINNEW JERSEY
20368398000OTHERNEW JERSEYAMERIHEALTH
3550663UKEOTHERNEW JERSEYMEDICARE ID-TYPE UNSPECIFIED
45114306MEDICAIDNEW JERSEY
560018874OTHERNEW JERSEYHORIZON NJ HEALTH
6001759700MEDICAIDFLORIDA

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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