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AEGIS MEDICAL SOLUTIONS 1 LLC NPI 1194281758


NPI Information

NPI: 1194281758
Provider Name: AEGIS MEDICAL SOLUTIONS 1 LLC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 10D1076083

Address:
1012 DRUID RD E
CLEARWATER, FL
ZIP 33756
Phone: (727) 443-4242
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AEGIS MEDICAL SOLUTIONS 1 LLC is a pain medicine physical medicine rehabilitation in Clearwater, FL. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. AEGIS MEDICAL SOLUTIONS 1 LLC NPI is 1194281758. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1012 DRUID RD E
CLEARWATER, FL
ZIP 33756-606
Phone: (727) 443-4242
Fax: (727) 441-1158

The provider's authorized official is Ricky P Lockett .
The authorized official title is Medical Director and has the following contact phone number (727) 443-4242.

The CLIA number assigned to this NPI record is 10D1076083 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2019 and was last updated on 2/19/2019.


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
12081P2900XPhysical Medicine & RehabilitationPain 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
1OS6109OTHERFLORIDALICENSE NUMBR

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

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