PELHAM MEDICAL CONSULTING & AESTHETIC LOUNGE LLC. NPI 1639876733

NPI Information

NPI: 1639876733
Provider Name: PELHAM MEDICAL CONSULTING & AESTHETIC LOUNGE, LLC.

Former Legal Business Name: PELHAM MEDICAL CONSULTING & AESTHETIC LOUNGE, LLC.

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
5979 VINELAND RD STE 207
ORLANDO, FL
ZIP 32819
Phone: (407) 893-1181
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PELHAM MEDICAL CONSULTING & AESTHETIC LOUNGE, LLC. is a family nurse practitioner in Orlando, FL. PELHAM MEDICAL CONSULTING & AESTHETIC LOUNGE, LLC. NPI is 1639876733. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Pelham Medical Consulting & Aesthetic Lounge, Llc..

The provider's business location address is:

5979 VINELAND RD STE 207
ORLANDO, FL
ZIP 32819-855
Phone: (407) 893-1181
Fax: (407) 440-8269

The provider's authorized official is Janadra Dean Greenidge .
The authorized official title is Owner and has the following contact phone number (407) 893-1181.

The enumeration date for this NPI number is 2/9/2023 and was last updated on 6/29/2023.

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
1	363LF0000X	Nurse Practitioner	Family			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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