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EMBRACE PRIMARY CARE LLC NPI 1700311602


NPI Information

NPI: 1700311602
Provider Name: EMBRACE PRIMARY CARE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 21D2135243

Address:
2101 MEDICAL PARK DR STE 300
SILVER SPRING, MD
ZIP 20902
Phone: (301) 802-6493
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EMBRACE PRIMARY CARE, LLC is a primary care clinic center in Silver Spring, MD. EMBRACE PRIMARY CARE, LLC NPI is 1700311602. The provider is registered as an organization entity type.

The provider's business location address is:

2101 MEDICAL PARK DR STE 300
SILVER SPRING, MD
ZIP 20902-053
Phone: (301) 802-6493
Fax: (844) 772-9186

The provider's authorized official is Thiago L Gibson .
The authorized official title is President And Ceo and has the following contact phone number (301) 367-4046.

The CLIA number assigned to this NPI record is 21D2135243 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2017 and was last updated on 3/8/2024.


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
1261QP2300XClinic/CenterPrimary CareYes

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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