OMNI FAMILY MEDICINE LLC NPI 1063785095

NPI Information

NPI: 1063785095
Provider Name: OMNI FAMILY MEDICINE, LLC

Doing Business As: JERRY M ALSTOTT MD

Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
8030 SAINT JAMES WAY
MOUNT DORA, FL
ZIP 32757
Phone: (407) 908-0064
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OMNI FAMILY MEDICINE, LLC is an adult medicine family medicine in Mount Dora, FL. The provider is definition to come. OMNI FAMILY MEDICINE, LLC NPI is 1063785095. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jerry M Alstott Md.

The provider's business location address is:

8030 SAINT JAMES WAY
MOUNT DORA, FL
ZIP 32757-134
Phone: (407) 908-0064
Fax: (352) 383-9319

The provider's authorized official is Jerry M Alstott .
The authorized official title is Owner and has the following contact phone number (407) 908-0064.

The enumeration date for this NPI number is 2/22/2012 and was last updated on 5/10/2016.

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	207QA0505X	Family Medicine	Adult Medicine	ME0037307	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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