WELAKA CLINIC INC NPI 1184651168

NPI Information

NPI: 1184651168
Provider Name: WELAKA CLINIC INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
405 ELM ST
WELAKA, FL
ZIP 32193
Phone: (386) 467-3171
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WELAKA CLINIC INC is a family medicine in Welaka, 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. WELAKA CLINIC INC NPI is 1184651168. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

405 ELM ST
WELAKA, FL
ZIP 32193-110
Phone: (386) 467-3171
Fax: (386) 467-3174

The provider's authorized official is Gary Buckman .
The authorized official title is Administrator and has the following contact phone number (386) 467-3171.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 8/22/2020.

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	License Number	License State	Primary
1	207Q00000X	Family Medicine	OS0006099	FLORIDA	Yes
2	207Q00000X	Family Medicine	OS8101	FLORIDA	X
3	207R00000X	Internal Medicine	17713	FLORIDA	X
4	207R00000X	Internal Medicine	ME54534	FLORIDA	X
5	207V00000X	Obstetrics & Gynecology	ME0059459	FLORIDA	X
6	207V00000X	Obstetrics & Gynecology	ME85684	FLORIDA	X
7	207V00000X	Obstetrics & Gynecology	ME75694	FLORIDA	X

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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