CENTURY CLINICAL FAMILY MEDICINE LLC. NPI 1710211289

NPI Information

NPI: 1710211289
Provider Name: CENTURY CLINICAL FAMILY MEDICINE, LLC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D1035959

Address:
1410 LPGA BLVD
STE. 140
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 274-4750
Get Directions

CENTURY CLINICAL FAMILY MEDICINE, LLC. is a primary care clinic center in Daytona Beach, FL. CENTURY CLINICAL FAMILY MEDICINE, LLC. NPI is 1710211289. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1410 LPGA BLVD
STE. 140
DAYTONA BEACH, FL
ZIP 32117-115
Phone: (386) 274-4750

The provider's authorized official is Thomas L Gaskin .
The authorized official title is Cfo and has the following contact phone number (386) 274-4750.

The CLIA number assigned to this NPI record is 10D1035959 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2009 and was last updated on 11/4/2009.

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	ARNP9211084	FLORIDA	No
2	261QP2300X	Clinic/Center	Primary Care			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

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.

« Previous NPI

Next NPI »