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DIVINE DESTINY VIRTUAL HEALTH NPI 1235756313


NPI Information

NPI: 1235756313
Provider Name: DIVINE DESTINY VIRTUAL HEALTH
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2631A NW 41ST ST
GAINESVILLE, FL
ZIP 32606
Phone: (407) 732-2070
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DIVINE DESTINY VIRTUAL HEALTH is a family medicine in Gainesville, 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. DIVINE DESTINY VIRTUAL HEALTH NPI is 1235756313. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2631A NW 41ST ST
GAINESVILLE, FL
ZIP 32606-628
Phone: (407) 732-2070

The provider's authorized official is Louella Pritchette .
The authorized official title is Owner and has the following contact phone number (407) 732-0720.

The enumeration date for this NPI number is 7/6/2020 and was last updated on 11/27/2023.


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
11104161017OTHERPENNSYLVANIACOMMERCIAL
21104161017OTHERFLORIDACOMMERCIAL
31104161017MEDICAIDFLORIDA
41104161017MEDICAIDPENNSYLVANIA

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: 4/28/2024

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