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FIREMED OF SOUTHEAST LLC NPI 1013687177


NPI Information

NPI: 1013687177
Provider Name: FIREMED OF SOUTHEAST, LLC
Classification: Internal Medicine - 207RI0001X
Entity Type: Organization

Specialization: Clinical & Laboratory Immunology

Address:
2479 TRIANNA STREET
FIREMED SOUTHEAST
NORTH PORT, FL
ZIP 34291
Phone: (941) 899-1430
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FIREMED OF SOUTHEAST, LLC is a clinical and laboratory immunology internal medicine in North Port, FL. The provider is an internal medicine physician who specializes in clinical and laboratory immunology disease management. FIREMED OF SOUTHEAST, LLC NPI is 1013687177. The provider is registered as an organization entity type.

The provider's business location address is:

2479 TRIANNA STREET
FIREMED SOUTHEAST
NORTH PORT, FL
ZIP 34291
Phone: (941) 899-1430

The provider's authorized official is Anthony C Perkins .
The authorized official title is President and has the following contact phone number (978) 230-9668.

The enumeration date for this NPI number is 9/20/2021 and was last updated on 9/20/2021.


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
1261QC1500XClinic/CenterCommunity HealthNo
2305S00000XPoint of ServiceNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4343900000XNon-emergency Medical Transport (VAN)No
5207RI0001XInternal MedicineClinical & Laboratory ImmunologyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.