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PHYSICIAN SERVICES IPA LLC NPI 1336573351


NPI Information

NPI: 1336573351
Provider Name: PHYSICIAN SERVICES IPA LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
400 GATLIN AVE
ORLANDO, FL
ZIP 32806
Phone: (888) 829-8550
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PHYSICIAN SERVICES IPA LLC 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. PHYSICIAN SERVICES IPA LLC NPI is 1336573351. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 GATLIN AVE
ORLANDO, FL
ZIP 32806-940
Phone: (888) 829-8550
Fax: (888) 843-7191

The provider's authorized official is Casey B Deloach .
The authorized official title is Manager and has the following contact phone number (888) 829-8550.

The enumeration date for this NPI number is 8/27/2013 and was last updated on 8/27/2013.


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
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHC059OTHERMEDICARE PTAN

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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