P3 MEDICAL INC. NPI 1093193906

NPI Information

  • NPI: 1093193906
  • Provider Name: P3 MEDICAL, INC.
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Organization
  • Other Name: P-3 MEDICAL, INC.
  • Address: 2505 NORTHUMBRIA DR
    SANFORD, FL
    ZIP 32771
  • Phone: (407) 361-7565

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NPI Details

P3 MEDICAL, INC. is a licensed practical nurse in Sanford, FL. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. P3 MEDICAL, INC. NPI is 1093193906. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is P-3 Medical, Inc..

The provider's business location address is:

2505 NORTHUMBRIA DR
SANFORD, FL
ZIP 32771-494
Phone: (407) 361-7565
Fax: (855) 552-3776

The provider's authorized official is Patty Polley .
The authorized official title is President and has the following contact phone number (407) 361-7565.

The enumeration date for this NPI number is 5/12/2015 and was last updated on 5/12/2015.

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
1164W00000XLicensed Practical NursePN680621FLORIDAYes

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: 11/21/2025

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