CENTRAL FLORIDA ACCIDENT AND INJURY NPI 1316232200

NPI Information

  • NPI: 1316232200
  • Provider Name: CENTRAL FLORIDA ACCIDENT AND INJURY
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • :
  • CLIA Number: 10D2216235
  • Address: 17315 PAGONIA RD STE 103
    CLERMONT, FL
    ZIP 34711
  • Phone: (407) 344-4878

Map and Directions

Get Directions

NPI Details

CENTRAL FLORIDA ACCIDENT AND INJURY is a family nurse practitioner in Clermont, FL. CENTRAL FLORIDA ACCIDENT AND INJURY NPI is 1316232200. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

17315 PAGONIA RD STE 103
CLERMONT, FL
ZIP 34711-956
Phone: (407) 344-4878
Fax: (407) 344-7878

The provider's authorized official is Thomas Patrick Entwistle .
The authorized official title is Physician / Owner and has the following contact phone number (407) 344-4878.

The CLIA number assigned to this NPI record is 10D2216235 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2011 and was last updated on 3/4/2025.

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/CenterNo
2363LF0000XNurse PractitionerFamilyYes

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: 3/30/2025

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.