ONE STOP MEDICAL SHOP LLC NPI 1184209694

NPI Information

NPI: 1184209694
Provider Name: ONE STOP MEDICAL SHOP LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 10D2220898

Address:
407 LITHIA PINECREST RD
BRANDON, FL
ZIP 33511
Phone: (727) 741-0580
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ONE STOP MEDICAL SHOP LLC is a family nurse practitioner in Brandon, FL. ONE STOP MEDICAL SHOP LLC NPI is 1184209694. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

407 LITHIA PINECREST RD
BRANDON, FL
ZIP 33511-138
Phone: (727) 741-0580

The provider's authorized official is Patrick Smith .
The authorized official title is Authorized Official and has the following contact phone number (727) 741-0580.

The CLIA number assigned to this NPI record is 10D2220898 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2021 and was last updated on 3/16/2021.

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	363LF0000X	Nurse Practitioner	Family			Yes

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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