INDEPENDANT IPALLC NPI 1720415474

NPI Information

NPI: 1720415474
Provider Name: INDEPENDANT IPA,LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
13906 LAKESHORE BLVD STE 330
HUDSON, FL
ZIP 34667
Phone: (727) 863-5242
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INDEPENDANT IPA,LLC is a specialist in Hudson, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INDEPENDANT IPA,LLC NPI is 1720415474. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13906 LAKESHORE BLVD STE 330
HUDSON, FL
ZIP 34667-487
Phone: (727) 863-5242
Fax: (727) 862-8510

The provider's authorized official is Chirag N Patel .
The authorized official title is Owner and has the following contact phone number (352) 596-3032.

The enumeration date for this NPI number is 9/26/2013 and was last updated on 9/26/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		ME87617	FLORIDA	Yes

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
1	I03397	MEDICARE UPIN	FLORIDA

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

NPI Synchronization or Removal

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