PRIDE CARE CENTER INC NPI 1093967341

NPI Information

NPI: 1093967341
Provider Name: PRIDE CARE CENTER INC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
10875 OVERSEAS HWY STE 110
MARATHON, FL
ZIP 33050
Phone: (305) 743-8130
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PRIDE CARE CENTER INC is a clinic center in Marathon, 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). PRIDE CARE CENTER INC NPI is 1093967341. The provider is registered as an organization entity type.

The provider's business location address is:

10875 OVERSEAS HWY STE 110
MARATHON, FL
ZIP 33050-454
Phone: (305) 743-8130
Fax: (305) 743-8140

The provider's authorized official is Aida Cardenas .
The authorized official title is Vice President and has the following contact phone number (305) 743-8130.

The enumeration date for this NPI number is 10/17/2008 and was last updated on 11/10/2009.

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	261Q00000X	Clinic/Center				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	8363	OTHER	FLORIDA	HCC LICENSE
2	000412600	MEDICAID	FLORIDA
3	0006D	OTHER	FLORIDA	BCBSFL
4	CC020A	MEDICARE PIN	FLORIDA

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

NPI Synchronization or Removal

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