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PHYSICIANS INJURY MEDICAL CENTER LLC NPI 1275600835


NPI Information

NPI: 1275600835
Provider Name: PHYSICIANS INJURY MEDICAL CENTER, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 10D1053920

Address:
4770 US HIGHWAY 19
NEW PORT RICHEY, FL
ZIP 34652
Phone: (727) 841-9998
Get Directions

PHYSICIANS INJURY MEDICAL CENTER, LLC is a chiropractor in New Port Richey, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PHYSICIANS INJURY MEDICAL CENTER, LLC NPI is 1275600835. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4770 US HIGHWAY 19
NEW PORT RICHEY, FL
ZIP 34652-944
Phone: (727) 841-9998
Fax: (727) 841-9848

The provider's authorized official is Jose E Grau .
The authorized official title is President and has the following contact phone number (727) 841-9998.

The CLIA number assigned to this NPI record is 10D1053920 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 8/22/2020.


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
1111N00000XChiropractorCH3514FLORIDAYes
2111N00000XChiropractorCH7939FLORIDAX
3174400000XSpecialistX

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
134705OTHERFLORIDABLUE CROSS & BLUE SHIELD

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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