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FORT PIERCE INTERMEDIATE CARE CENTER NPI 1184753758


NPI Information

NPI: 1184753758
Provider Name: FORT PIERCE INTERMEDIATE CARE CENTER

Doing Business As: FORT PIERCE WALK-IN MEDICAL CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
900 VIRGINIA AVE
SUITE 10
FORT PIERCE, FL
ZIP 34982
Phone: (772) 464-6551
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FORT PIERCE INTERMEDIATE CARE CENTER is a general practice in Fort Pierce, FL. FORT PIERCE INTERMEDIATE CARE CENTER NPI is 1184753758. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fort Pierce Walk-in Medical Clinic.

The provider's business location address is:

900 VIRGINIA AVE
SUITE 10
FORT PIERCE, FL
ZIP 34982-882
Phone: (772) 464-6551
Fax: (772) 465-0322

The provider's authorized official is Craig Walker .
The authorized official title is Vp and has the following contact phone number (800) 661-3365.

The enumeration date for this NPI number is 3/2/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.