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CHOICE WELLNESS LLC NPI 1215201157


NPI Information

NPI: 1215201157
Provider Name: CHOICE WELLNESS, LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D1051238

Address:
26212 US HIGHWAY 19 N
CLEARWATER, FL
ZIP 33761
Phone: (727) 230-1438
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CHOICE WELLNESS, LLC is a specialist in Clearwater, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHOICE WELLNESS, LLC NPI is 1215201157. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

26212 US HIGHWAY 19 N
CLEARWATER, FL
ZIP 33761-580
Phone: (727) 230-1438
Fax: (727) 230-1437

The provider's authorized official is Brent J Agin .
The authorized official title is Owner and has the following contact phone number (727) 230-1438.

The CLIA number assigned to this NPI record is 10D1051238 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2012 and was last updated on 12/18/2014.


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
1174400000XSpecialistME83513FLORIDAYes

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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