ACE MEDICAL LLC NPI 1053838946

NPI Information

NPI: 1053838946
Provider Name: ACE MEDICAL LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
112 W HIGHLAND BLVD
INVERNESS, FL
ZIP 34452
Phone: (904) 475-2039
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ACE MEDICAL LLC is a multi-specialty clinic center in Inverness, FL. ACE MEDICAL LLC NPI is 1053838946. The provider is registered as an organization entity type.

The provider's business location address is:

112 W HIGHLAND BLVD
INVERNESS, FL
ZIP 34452-819
Phone: (904) 475-2039
Fax: (904) 330-0668

The provider's authorized official is Diana M Cordero .
The authorized official title is Owner/president and has the following contact phone number (904) 238-3752.

The enumeration date for this NPI number is 8/23/2017 and was last updated on 11/9/2018.

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	261QM1300X	Clinic/Center	Multi-Specialty			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	7635710001	OTHER		NSC

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

NPI Synchronization or Removal

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