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EDNEM MEDICAL SERVICES PA NPI 1386783520


NPI Information

NPI: 1386783520
Provider Name: EDNEM MEDICAL SERVICES, PA

Doing Business As: EDNEM FAMILY MEDICINE CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D1012531

Address:
7148 CURRY FORD RD STE 100
ORLANDO, FL
ZIP 32822
Phone: (407) 482-2221
Get Directions

EDNEM MEDICAL SERVICES, PA 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. EDNEM MEDICAL SERVICES, PA NPI is 1386783520. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ednem Family Medicine Clinic.

The provider's business location address is:

7148 CURRY FORD RD STE 100
ORLANDO, FL
ZIP 32822-803
Phone: (407) 482-2221
Fax: (407) 482-2284

The provider's authorized official is Edsel Jeronimo Comenencia .
The authorized official title is Physician and has the following contact phone number (407) 482-2221.

The CLIA number assigned to this NPI record is 10D1012531 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 12/4/2009.


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 MedicineFLORIDAYes

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
1K4432MEDICARE PINFLORIDA
2266610300MEDICAIDFLORIDA

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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