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BIOCORE THERAPEUTICS LLC NPI 1205548450


NPI Information

NPI: 1205548450
Provider Name: BIOCORE THERAPEUTICS, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1002 S DILLARD ST STE 114
WINTER GARDEN, FL
ZIP 34787
Phone: (407) 307-1510
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BIOCORE THERAPEUTICS, LLC is a clinic center in Winter Garden, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BIOCORE THERAPEUTICS, LLC NPI is 1205548450. The provider is registered as an organization entity type.

The provider's business location address is:

1002 S DILLARD ST STE 114
WINTER GARDEN, FL
ZIP 34787-991
Phone: (407) 307-1510

The provider's authorized official is Christopher Wayne Luczywo .
The authorized official title is Practice Manager and has the following contact phone number (407) 307-1511.

The enumeration date for this NPI number is 12/20/2022 and was last updated on 12/20/2022.


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
1261QH0100XClinic/CenterHealth ServiceNo
2261Q00000XClinic/CenterYes

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

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