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TREASURE COAST MEDICAL SERVICES INC. NPI 1063443794


NPI Information

NPI: 1063443794
Provider Name: TREASURE COAST MEDICAL SERVICES, INC.

Doing Business As: CLERMONT CARDIAC CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D2054904

Address:
1725 E. STATE ROAD 50
SUITE A
CLERMONT, FL
ZIP 34711
Phone: (352) 243-3517
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TREASURE COAST MEDICAL SERVICES, INC. is a clinic center in Clermont, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TREASURE COAST MEDICAL SERVICES, INC. NPI is 1063443794. The provider is registered as an organization entity type.
The provider Is Doing Business As Clermont Cardiac Center.

The provider's business location address is:

1725 E. STATE ROAD 50
SUITE A
CLERMONT, FL
ZIP 34711
Phone: (352) 243-3517

The provider's authorized official is James Allen Rogers .
The authorized official title is Ceo and has the following contact phone number (772) 770-2464.

The CLIA number assigned to this NPI record is 10D2054904 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 11/14/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterHCC4625FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E7835AMEDICARE ID-TYPE UNSPECIFIED

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

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