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SPARTAN MEDICAL GROUP NPI 1003577081


NPI Information

NPI: 1003577081
Provider Name: SPARTAN MEDICAL GROUP

Doing Business As: SPARTAN MEDICAL MEN'S HEALTH CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2237074

Address:
9145 NARCOOSSEE RD STE A102
ORLANDO, FL
ZIP 32827
Phone: (407) 703-6020
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SPARTAN MEDICAL GROUP is a family medicine in Orlando, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SPARTAN MEDICAL GROUP NPI is 1003577081. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spartan Medical Men's Health Clinic.

The provider's business location address is:

9145 NARCOOSSEE RD STE A102
ORLANDO, FL
ZIP 32827-768
Phone: (407) 703-6020

The provider's authorized official is Kwabena Amponsah .
The authorized official title is Ceo/provider and has the following contact phone number (937) 902-2068.

The CLIA number assigned to this NPI record is 10D2237074 - physician office with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 1/3/2022 and was last updated on 1/10/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

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: 11/14/2023

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