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ENGLEWOOD FAMILY HEALTH CARE CENTER INC NPI 1184831430


NPI Information

NPI: 1184831430
Provider Name: ENGLEWOOD FAMILY HEALTH CARE CENTER INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2116681

Address:
2400 S MCCALL RD STE C
ENGLEWOOD, FL
ZIP 34224
Phone: (941) 473-2913
Get Directions

ENGLEWOOD FAMILY HEALTH CARE CENTER INC is a family medicine in Englewood, 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. ENGLEWOOD FAMILY HEALTH CARE CENTER INC NPI is 1184831430. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2400 S MCCALL RD STE C
ENGLEWOOD, FL
ZIP 34224-136
Phone: (941) 473-2913
Fax: (941) 473-9813

The provider's authorized official is Todd R Chace .
The authorized official title is President and has the following contact phone number (941) 474-9314.

The CLIA number assigned to this NPI record is 10D2116681 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 12/22/2011.


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
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
139585MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE GROUP #

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.