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TRI COUNTY MEDICAL ASSOCIATES PA NPI 1831234160


NPI Information

NPI: 1831234160
Provider Name: TRI COUNTY MEDICAL ASSOCIATES PA

Doing Business As: DELTONA FOUNTAINS MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
820 DELTONA BLVD
SUITE A
DELTONA, FL
ZIP 32725
Phone: (386) 860-4545
Get Directions

TRI COUNTY MEDICAL ASSOCIATES PA is a family medicine in Deltona, 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. TRI COUNTY MEDICAL ASSOCIATES PA NPI is 1831234160. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Deltona Fountains Medical Clinic.

The provider's business location address is:

820 DELTONA BLVD
SUITE A
DELTONA, FL
ZIP 32725-177
Phone: (386) 860-4545
Fax: (386) 860-5632

The provider's authorized official is Pamela Pearson Hall .
The authorized official title is Vice President and has the following contact phone number (386) 860-4545.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 8/18/2008.


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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CA7444OTHERPALMETTO GBA GROUP NUMBER
2377330200MEDICAIDFLORIDA
333843MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE GROUP NUMBER

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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