MDL HEALTH PLLC NPI 1053771493

NPI Information

NPI: 1053771493
Provider Name: MDL HEALTH, PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1802 GLENCOE DR
LYNN HAVEN, FL
ZIP 32444
Phone: (703) 625-1430
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MDL HEALTH, PLLC is a clinic center in Lynn Haven, 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). MDL HEALTH, PLLC NPI is 1053771493. The provider is registered as an organization entity type.

The provider's business location address is:

1802 GLENCOE DR
LYNN HAVEN, FL
ZIP 32444-077
Phone: (703) 625-1430

The provider's authorized official is Hashani M Perkins .
The authorized official title is President and has the following contact phone number (703) 625-1430.

The enumeration date for this NPI number is 2/27/2016 and was last updated on 2/27/2016.

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	261Q00000X	Clinic/Center		ME123818	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	014866800	MEDICAID	FL

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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