SPECIALIZED CARE INITIATIVE PLLC NPI 1255179743

NPI Information

  • NPI: 1255179743
  • Provider Name: SPECIALIZED CARE INITIATIVE PLLC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Address: 8348 LITTLE RD STE 149
    NEW PORT RICHEY, FL
    ZIP 34654
  • Phone: (855) 232-0644

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NPI Details

SPECIALIZED CARE INITIATIVE PLLC is an adult health nurse practitioner in New Port Richey, FL. SPECIALIZED CARE INITIATIVE PLLC NPI is 1255179743. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8348 LITTLE RD STE 149
NEW PORT RICHEY, FL
ZIP 34654-919
Phone: (855) 232-0644

The provider's authorized official is Jeffrey Wacksman .
The authorized official title is Authorized Official and has the following contact phone number (855) 232-0644.

The enumeration date for this NPI number is 7/18/2024 and was last updated on 7/18/2024.

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
1207R00000XInternal MedicineNo
2363LA2200XNurse PractitionerAdult HealthYes

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: 11/21/2025

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