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ISLIMLIPO NPI 1801409909


NPI Information

NPI: 1801409909
Provider Name: ISLIMLIPO
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
4540 SOUTHSIDE BLVD STE 401
JACKSONVILLE, FL
ZIP 32216
Phone: (772) 281-7682
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ISLIMLIPO is a clinic center in Jacksonville, 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). ISLIMLIPO NPI is 1801409909. The provider is registered as an organization entity type.

The provider's business location address is:

4540 SOUTHSIDE BLVD STE 401
JACKSONVILLE, FL
ZIP 32216-488
Phone: (772) 281-7682

The provider's authorized official is Allison Kern .
The authorized official title is Director Of Operations and has the following contact phone number (772) 281-7682.

The enumeration date for this NPI number is 8/28/2020 and was last updated on 9/18/2020.


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

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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