Provider Type Icon

SUCCESS BY DESIGN OF PINELLAS COUNTY LLC NPI 1619436375


NPI Information

NPI: 1619436375
Provider Name: SUCCESS BY DESIGN OF PINELLAS COUNTY LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D2005389

Address:
9095 BELCHER RD N
PINELLAS PARK, FL
ZIP 33782
Phone: (727) 548-0000
Get Directions

SUCCESS BY DESIGN OF PINELLAS COUNTY LLC is a clinic center in Pinellas Park, 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). SUCCESS BY DESIGN OF PINELLAS COUNTY LLC NPI is 1619436375. The provider is registered as an organization entity type.

The provider's business location address is:

9095 BELCHER RD N
PINELLAS PARK, FL
ZIP 33782-423
Phone: (727) 548-0000

The provider's authorized official is Sherri Morrison .
The authorized official title is Ceo and has the following contact phone number (727) 647-8017.

The CLIA number assigned to this NPI record is 10D2005389 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2019 and was last updated on 3/13/2019.


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/CenterYes

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
11376538314OTHEROPTED OUT MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.