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PHYSICIANS MEDICAL GROUP LLC NPI 1164480042


NPI Information

NPI: 1164480042
Provider Name: PHYSICIANS MEDICAL GROUP, LLC

Doing Business As: PHYSICIANS MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D1018444

Address:
235 CITRUS TOWER BLVD
SUITE 104
CLERMONT, FL
ZIP 34711
Phone: (352) 536-1764
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PHYSICIANS MEDICAL GROUP, LLC is a family medicine in Clermont, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PHYSICIANS MEDICAL GROUP, LLC NPI is 1164480042. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Physicians Medical Group.

The provider's business location address is:

235 CITRUS TOWER BLVD
SUITE 104
CLERMONT, FL
ZIP 34711-712
Phone: (352) 536-1764
Fax: (352) 536-1765

The provider's authorized official is Aashiv N. Hari .
The authorized official title is Manager and has the following contact phone number (352) 536-1764.

The CLIA number assigned to this NPI record is 10D1018444 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 9/28/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME84484FLORIDAYes

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
113764OTHERFLORIDABLUE CROSS BLUE SHIELD FL
2K4733MEDICARE PINFLORIDA

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

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